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Draining An Abscess In The Mouth Vestibule

North Carolina 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 negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $204 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$219$148 to $302
FacilityA hospital or hospital-owned outpatient department$204$178 to $363

How much rates vary

Facilitymedian $204 · 10th to 90th $115 to $1,660Professionalmedian $219 · 10th to 90th $115 to $501
$200$500$1K$2K$5Kfacility $204professional $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
$114.82
Median
$204.17
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$199.53
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$251.19
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$436.52
Medcost
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$199.53
Typical High
$338.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,344.23
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$398.11
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,288.25
Typical High
$1,288.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,698.24

Where North Carolina 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.

North Carolina· 31st 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.