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Draining An Abscess In The Mouth Vestibule

Nevada 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 Nevada, 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 $646 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 $251
FacilityA hospital or hospital-owned outpatient department$646$214 to $3,467

How much rates vary

Facilitymedian $646 · 10th to 90th $123 to $4,786Professionalmedian $204 · 10th to 90th $123 to $389
$50$200$1K$5Kfacility $646professional $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
$123.03
Median
$645.65
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$204.17
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,467.37
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$194.98
Typical High
$331.13
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$199.53
Typical High
$331.13
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$316.23
Select Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$208.93
Select Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$1,445.44
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$199.53
Typical High
$363.08

Where Nevada 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.

Nevada· 35th 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.