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Draining An Abscess In The Mouth Vestibule

Kentucky 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?

$191

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $1,698 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$166$115 to $200
FacilityA hospital or hospital-owned outpatient department$1,698$380 to $2,512

How much rates vary

Facilitymedian $1,698 · 10th to 90th $214 to $2,951Professionalmedian $166 · 10th to 90th $107 to $282
$1$10$100$1K$10Kfacility $1,698professional $166

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
$138.04
Median
$239.88
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$144.54
Typical High
$218.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$173.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$199.53
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$239.88
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,445.44
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$194.98
Typical High
$346.74

Where Kentucky 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.

Kentucky· 50th of 51

$191

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.