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Mouth Vestibule Tissue Sample

Georgia 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?

$204

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $2,630 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 6 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$186$135 to $275
FacilityA hospital or hospital-owned outpatient department$2,630$1,230 to $4,169

How much rates vary

Facilitymedian $2,630 · 10th to 90th $275 to $7,079Professionalmedian $186 · 10th to 90th $93 to $372
$100$200$500$1K$2K$5K$10Kfacility $2,630professional $186

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
$169.82
Median
$3,548.13
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$181.97
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,511.89
Typical High
$4,168.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$208.93
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$169.82
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$1,318.26
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$177.83
Typical High
$323.59

Where Georgia 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.

Georgia· 20th of 51

$204

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.