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Draining An Abscess In The Mouth Vestibule

Utah 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?

$263

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $1,288 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 7 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$263$174 to $380
FacilityA hospital or hospital-owned outpatient department$1,288$263 to $4,169

How much rates vary

Facilitymedian $1,288 · 10th to 90th $170 to $4,571Professionalmedian $263 · 10th to 90th $123 to $589
$50$100$200$500$1K$2K$5Kfacility $1,288professional $263

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
$169.82
Median
$512.86
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$263.03
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$234.42
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$416.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,380.38
Typical High
$2,089.30
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$251.19
Typical High
$354.81
Select Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Select Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$371.54
Typical High
$426.58
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$263.03
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,818.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$371.54

Where Utah 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.

Utah· 14th of 51

$263

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.