go back

Mouth Vestibule Tissue Sample

Colorado 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?

$224

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $3,236 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$174$115 to $224
FacilityA hospital or hospital-owned outpatient department$3,236$2,138 to $5,495

How much rates vary

Facilitymedian $3,236 · 10th to 90th $204 to $7,413Professionalmedian $174 · 10th to 90th $93 to $372
$100$200$500$1K$2K$5K$10Kfacility $3,236professional $174

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
$173.78
Median
$3,388.44
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$173.78
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$177.83
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$323.59
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$186.21
Typical High
$288.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$245.47
Typical High
$645.65
Select Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$169.82
Typical High
$371.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$91.20
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,318.26
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$199.53
Typical High
$338.84

Where Colorado 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.

Colorado· 15th of 51

$224

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.