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Draining An Abscess In The Mouth Vestibule

Georgia 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?

$245

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $2,630 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 6 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$214$148 to $275
FacilityA hospital or hospital-owned outpatient department$2,630$1,148 to $4,365

How much rates vary

Facilitymedian $2,630 · 10th to 90th $309 to $5,623Professionalmedian $214 · 10th to 90th $120 to $398
$100$200$500$1K$2K$5K$10Kfacility $2,630professional $214

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
$190.55
Median
$3,801.89
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$199.53
Typical High
$398.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$190.55
Typical High
$204.17
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,511.89
Typical High
$4,168.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$251.19
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$234.42
Typical High
$407.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$213.80
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,949.84
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$398.11

Where Georgia 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.

Georgia· 19th of 51

$245

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.