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Draining An Abscess In The Mouth Vestibule

Illinois 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?

$219

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $1,023 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$200$145 to $282
FacilityA hospital or hospital-owned outpatient department$1,023$245 to $2,188

How much rates vary

Facilitymedian $1,023 · 10th to 90th $200 to $5,370Professionalmedian $200 · 10th to 90th $117 to $372
$100$200$500$1K$2K$5K$10Kfacility $1,023professional $200

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
$144.54
Median
$812.83
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$199.53
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,023.29
Typical High
$1,949.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$213.80
Typical High
$363.08
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$288.40
Typical High
$512.86
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$147.91
Typical High
$269.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,380.38
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$389.05

Where Illinois 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.

Illinois· 30th of 51

$219

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.