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Draining An Abscess In The Mouth Vestibule

Nebraska 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?

$309

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $7,244 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$282$191 to $447
FacilityA hospital or hospital-owned outpatient department$7,244$1,820 to $11,482

How much rates vary

Facilitymedian $7,244 · 10th to 90th $191 to $14,454Professionalmedian $282 · 10th to 90th $110 to $676
$100$500$2K$10Kfacility $7,244professional $282

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
$3,890.45
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$288.40
Typical High
$1,174.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$7,762.47
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$380.19
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$281.84
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$1,513.56
Midlands
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$446.68
Typical High
$616.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$1,071.52
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$295.12
Typical High
$524.81

Where Nebraska 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.

Nebraska· 10th of 51

$309

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.