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Draining An Abscess In The Mouth Vestibule

Iowa 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?

$339

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $1,549 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 7 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$324$200 to $501
FacilityA hospital or hospital-owned outpatient department$1,549$339 to $5,370

How much rates vary

Facilitymedian $1,549 · 10th to 90th $229 to $7,943Professionalmedian $324 · 10th to 90th $132 to $794
$100$200$500$1K$2K$5K$10Kfacility $1,549professional $324

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
$199.53
Median
$5,011.87
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$288.40
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$616.60
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$309.03
Typical High
$416.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$501.19
Typical High
$3,235.94
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$371.54
Typical High
$891.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$446.68
Typical High
$562.34
Midlands
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$363.08
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,819.70
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$251.19
Typical High
$512.86
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$512.86

Where Iowa 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.

Iowa· 7th of 51

$339

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.