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Draining An Abscess In The Mouth Vestibule

Massachusetts 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?

$240

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $229 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 9 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$245$155 to $363
FacilityA hospital or hospital-owned outpatient department$229$148 to $2,818

How much rates vary

Facilitymedian $229 · 10th to 90th $148 to $3,715Professionalmedian $245 · 10th to 90th $135 to $550
$100$200$500$1K$2K$5Kfacility $229professional $245

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
$2,818.38
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$194.98
Typical High
$588.84
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,288.25
Typical High
$3,801.89
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$245.47
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$295.12
Typical High
$575.44
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$177.83
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$302.00
Typical High
$416.87
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,511.89
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$251.19
Typical High
$537.03
Health New England
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$389.05
Typical High
$389.05
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,288.25
Typical High
$3,801.89
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$245.47
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,089.30
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$281.84
Typical High
$588.84

Where Massachusetts 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.

Massachusetts· 21st of 51

$240

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.