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Mouth Vestibule Tissue Sample

Arkansas rates for HCPCS 40808

This procedure removes a small piece of tissue from the vestibule of the mouth, the space between the lips or cheeks and the gums and teeth. It's done to get a clear diagnosis of a sore, lump, or discolored patch in that area that hasn't resolved on its own. The sample is then examined under a microscope.

Rates data updated July 2026.

How much does Mouth Vestibule Tissue Sample cost?

$200

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $631 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 4 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$162$126 to $214
FacilityA hospital or hospital-owned outpatient department$631$331 to $1,072

How much rates vary

Facilitymedian $631 · 10th to 90th $129 to $1,820Professionalmedian $162 · 10th to 90th $102 to $263
$100$200$500$1K$2Kfacility $631professional $162

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
$128.82
Median
$794.33
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$162.18
Typical High
$263.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$169.82
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$549.54
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$147.91
Typical High
$275.42

Where Arkansas sits

The same service costs 4.2 times more in Oklahoma than in Kentucky. 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.

Arkansas· 22nd of 51

$200

OK $676KY $162

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.