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Draining An Abscess In The Mouth Vestibule

New Mexico 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 Mexico, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $490 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$204$141 to $282
FacilityA hospital or hospital-owned outpatient department$490$245 to $813

How much rates vary

Facilitymedian $490 · 10th to 90th $170 to $2,630Professionalmedian $204 · 10th to 90th $117 to $380
$100$1K$10K$100Kfacility $490professional $204

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
$177.83
Median
$309.03
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$204.17
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$537.03
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$223.87
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$275.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$234.42
Typical High
$457.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$2,630.27
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$371.54

Where New Mexico 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 Mexico· 39th 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.