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Mouth Vestibule Tissue Sample

Washington, DC 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?

$209

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $209 for this service. Most negotiated rates run $120 to $501.

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.

How much rates vary

Facilitymedian $1,000 · 10th to 90th $209 to $4,074Professionalmedian $195 · 10th to 90th $100 to $316
$100$200$500$1K$2K$5Kfacility $1,000professional $195

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
$208.93
Median
$1,000.00
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$194.98
Typical High
$239.88
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$562.34
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$186.21
Typical High
$426.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$194.98
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$977.24
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$204.17
Typical High
$436.52

Where Washington, DC 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.

Washington, DC· 18th of 51

$209

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.