go back

Draining An Abscess In The Mouth Vestibule

Oregon 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?

$331

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $398 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$316$219 to $407
FacilityA hospital or hospital-owned outpatient department$398$302 to $437

How much rates vary

Facilitymedian $398 · 10th to 90th $191 to $5,370Professionalmedian $316 · 10th to 90th $174 to $562
$100$500$2K$10Kfacility $398professional $316

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
$309.03
Median
$549.54
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$309.03
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$331.13
Typical High
$562.34
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$512.86
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$275.42
Typical High
$478.63
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$316.23
Typical High
$478.63
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$416.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$281.84
Typical High
$501.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$302.00
Typical High
$524.81
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,290.87
Typical High
$2,818.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,238.72
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$316.23
Typical High
$549.54

Where Oregon 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.

Oregon· 8th of 51

$331

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.