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Draining An Abscess In The Mouth Vestibule

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $316 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$182$138 to $234
FacilityA hospital or hospital-owned outpatient department$316$186 to $1,862

How much rates vary

Facilitymedian $316 · 10th to 90th $148 to $4,898Professionalmedian $182 · 10th to 90th $112 to $269
$50$100$200$500$1K$2K$5Kfacility $316professional $182

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
$147.91
Median
$257.04
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$251.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$177.83
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$177.83
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$309.03
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$524.81
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$223.87
Typical High
$323.59
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,621.81
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$323.59

Where Michigan 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.

Michigan· 48th 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.