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Draining An Abscess In The Mouth Vestibule

Vermont 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?

$224

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $151 to $275.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $224 · 10th to 90th $141 to $275
$200$500professional $224

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
Professional
Modifier
Global
Typical Low
$141.25
Median
$223.87
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$239.88
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$512.86

Where Vermont 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.

Vermont· 29th of 51

$224

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.