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Draining An Abscess In The Mouth Vestibule

Virginia 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?

$214

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $295 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$209$145 to $251
FacilityA hospital or hospital-owned outpatient department$295$178 to $2,884

How much rates vary

Facilitymedian $295 · 10th to 90th $141 to $7,079Professionalmedian $209 · 10th to 90th $123 to $339
$100$200$500$1K$2K$5K$10Kfacility $295professional $209

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
$295.12
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$204.17
Typical High
$323.59
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$213.80
Typical High
$371.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$263.03
Typical High
$660.69
Medcost
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$251.19
Typical High
$489.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$239.88
Typical High
$380.19
Sentara
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$169.82
Typical High
$3,311.31
Sentara
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$281.84
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,089.30
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$199.53
Typical High
$354.81

Where Virginia 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.

Virginia· 34th of 51

$214

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.