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Draining An Abscess In The Mouth Vestibule

New Jersey 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?

$214

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $4,571 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$200$126 to $251
FacilityA hospital or hospital-owned outpatient department$4,571$1,445 to $8,511

How much rates vary

Facilitymedian $4,571 · 10th to 90th $214 to $10,715Professionalmedian $200 · 10th to 90th $115 to $407
$100$200$500$1K$2K$5K$10Kfacility $4,571professional $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
$213.80
Median
$5,888.44
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$186.21
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$251.19
Typical High
$549.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$245.47
Typical High
$398.11
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,187.76
Typical High
$3,235.94
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$223.87
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,467.37
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$181.97
Typical High
$389.05

Where New Jersey 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.

New Jersey· 36th of 51

$214

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.