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Draining An Abscess In The Mouth Vestibule

Maine 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 physician fee. In Maine, July 2026.

Insurers have agreed to pay about $219 for this service. Most negotiated rates run $151 to $295.

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.

How much rates vary

Facilitymedian $95 · 10th to 90th $1 to $589Professionalmedian $219 · 10th to 90th $138 to $355
$1$5$20$100$500facility $95professional $219

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
$0.83
Median
$95.50
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$257.04
Typical High
$467.74
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$257.04
Typical High
$407.38
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$0.83
Median
$234.42
Typical High
$588.84
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$257.04
Typical High
$426.58

Where Maine 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.

Maine· 32nd 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.