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Mouth Vestibule Tissue Sample

Hawaii 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?

$174

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $174 for this service. Most negotiated rates run $115 to $204.

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 $2,884 · 10th to 90th $794 to $2,884Professionalmedian $141 · 10th to 90th $100 to $229
$50$100$200$500$1K$2Kfacility $2,884professional $141

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
$794.33
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$199.53
Typical High
$223.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$181.97
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$251.19
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$120.23
Typical High
$229.09

Where Hawaii 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.

Hawaii· 48th of 51

$174

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.