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Draining An Abscess In The Mouth Vestibule

North Dakota 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?

$263

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $200 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 5 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$263$214 to $398
FacilityA hospital or hospital-owned outpatient department$200$126 to $214

How much rates vary

Facilitymedian $200 · 10th to 90th $115 to $2,570Professionalmedian $263 · 10th to 90th $126 to $479
$200$500$1K$2K$5Kfacility $200professional $263

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
$199.53
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$213.80
Typical High
$380.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$389.05
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,344.23
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$489.78

Where North Dakota 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 Dakota· 15th of 51

$263

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.