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Draining An Abscess In The Mouth Vestibule

Missouri 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?

$251

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $200 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 7 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$200$135 to $251
FacilityA hospital or hospital-owned outpatient department$1,698$851 to $3,162

How much rates vary

Facilitymedian $1,698 · 10th to 90th $209 to $5,248Professionalmedian $200 · 10th to 90th $117 to $372
$100$200$500$1K$2K$5Kfacility $1,698professional $200

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
$125.89
Median
$2,511.89
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$190.55
Typical High
$323.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$208.93
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$239.88
Typical High
$416.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$257.04
Typical High
$1,862.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$398.11
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,047.13
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$234.42
Typical High
$426.58

Where Missouri 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.

Missouri· 17th of 51

$251

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.