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Draining An Abscess In The Mouth Vestibule

Idaho 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 Idaho, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $447 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$240$191 to $363
FacilityA hospital or hospital-owned outpatient department$447$200 to $1,445

How much rates vary

Facilitymedian $447 · 10th to 90th $129 to $4,467Professionalmedian $240 · 10th to 90th $138 to $589
$100$200$500$1K$2K$5Kfacility $447professional $240

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
$512.86
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$239.88
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$512.86
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$234.42
Typical High
$363.08
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$263.03
Typical High
$512.86
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,584.89
Typical High
$2,290.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$257.04
Typical High
$426.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$1,122.02
Select Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,168.69
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$223.87
Typical High
$380.19

Where Idaho 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.

Idaho· 18th 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.