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Mouth Vestibule Tissue Sample

Arizona 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?

$191

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $2,188 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$170$117 to $251
FacilityA hospital or hospital-owned outpatient department$2,188$1,230 to $4,677

How much rates vary

Facilitymedian $2,188 · 10th to 90th $224 to $5,623Professionalmedian $170 · 10th to 90th $89 to $832
$100$200$500$1K$2K$5Kfacility $2,188professional $170

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
$1,513.56
Median
$3,715.35
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$169.82
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,778.28
Typical High
$3,467.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$199.53
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$165.96
Typical High
$302.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$173.78
Typical High
$1,659.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$954.99
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$154.88
Typical High
$257.04

Where Arizona 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.

Arizona· 33rd of 51

$191

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.