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Draining An Abscess In The Mouth Vestibule

Florida rates for HCPCS 40800

Opens and drains a pocket of pus, fluid or blood in the vestibule of the mouth, the space between the lips or cheek and the gums. A small cut is made through the lining, the collection is emptied and the area is rinsed out. This is the straightforward version, used when a single pocket can be opened and cleared in one step.

Rates data updated July 2026.

How much does Draining An Abscess In The Mouth Vestibule cost?

$195

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $3,236 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$174$126 to $219
FacilityA hospital or hospital-owned outpatient department$3,236$1,585 to $6,607

How much rates vary

Facilitymedian $3,236 · 10th to 90th $776 to $10,965Professionalmedian $174 · 10th to 90th $112 to $302
$50$200$1K$5Kfacility $3,236professional $174

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$3,235.94
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$281.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$204.17
AvMed
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$4,073.80
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$204.17
Typical High
$371.54
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,311.31
Typical High
$6,760.83
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$194.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$2,290.87
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$194.98
Typical High
$363.08
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$154.88
Typical High
$213.80

Where Florida sits

The same service costs 5.4 times more in California than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 46th of 51

$195

CA $1,023DE $191

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.