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Draining An Abscess In The Mouth Vestibule

South Carolina 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?

$204

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $200 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$200$138 to $234
FacilityA hospital or hospital-owned outpatient department$490$234 to $1,380

How much rates vary

Facilitymedian $490 · 10th to 90th $138 to $9,120Professionalmedian $200 · 10th to 90th $115 to $331
$50$200$1K$5K$20Kfacility $490professional $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
$138.04
Median
$831.76
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$199.53
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$416.87
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$162.18
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$223.87
Typical High
$398.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$204.17
Typical High
$426.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$3,630.78
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$346.74

Where South Carolina 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.

South Carolina· 42nd of 51

$204

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.