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Draining An Abscess In The Mouth Vestibule

Indiana 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?

$200

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $3,631 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 5 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$178$117 to $204
FacilityA hospital or hospital-owned outpatient department$3,631$2,455 to $5,248

How much rates vary

Facilitymedian $3,631 · 10th to 90th $339 to $8,318Professionalmedian $178 · 10th to 90th $112 to $263
$100$200$500$1K$2K$5K$10Kfacility $3,631professional $178

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
$131.83
Median
$338.84
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$251.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,073.80
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$269.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,818.38
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$190.55
Typical High
$331.13

Where Indiana 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.

Indiana· 45th of 51

$200

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.