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Draining An Abscess In The Mouth Vestibule

Ohio 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?

$195

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $1,660 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 8 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$178$129 to $234
FacilityA hospital or hospital-owned outpatient department$1,660$417 to $6,607

How much rates vary

Facilitymedian $1,660 · 10th to 90th $191 to $10,715Professionalmedian $178 · 10th to 90th $112 to $316
$50$200$1K$5Kfacility $1,660professional $178

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
$144.54
Median
$660.69
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$380.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,137.96
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$162.18
Typical High
$288.40
CareSource
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$123.03
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$194.98
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$223.87
Typical High
$380.19
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$234.42
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$204.17
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,513.56
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$190.55
Typical High
$331.13

Where Ohio 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.

Ohio· 47th of 51

$195

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.