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Draining An Abscess In The Mouth Vestibule

Tennessee 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?

$234

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $1,585 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 5 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$148 to $288
FacilityA hospital or hospital-owned outpatient department$1,585$912 to $2,455

How much rates vary

Facilitymedian $1,585 · 10th to 90th $331 to $4,074Professionalmedian $204 · 10th to 90th $115 to $398
$100$200$500$1K$2K$5Kfacility $1,585professional $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
$245.47
Median
$2,454.71
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$194.98
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,445.44
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$213.80
Typical High
$371.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$1,288.25
Typical High
$1,288.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,348.96
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$407.38

Where Tennessee 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.

Tennessee· 25th of 51

$234

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.