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Mouth Vestibule Tissue Sample

Iowa 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?

$288

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $1,778 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$269$155 to $490
FacilityA hospital or hospital-owned outpatient department$1,778$437 to $3,802

How much rates vary

Facilitymedian $1,778 · 10th to 90th $251 to $6,761Professionalmedian $269 · 10th to 90th $120 to $933
$100$200$500$1K$2K$5K$10Kfacility $1,778professional $269

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
$288.40
Median
$2,398.83
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$269.15
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$380.19
Typical High
$501.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$269.15
Typical High
$416.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$426.58
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$309.03
Typical High
$660.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$371.54
Typical High
$436.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,348.96
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$204.17
Typical High
$426.58
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$416.87

Where Iowa 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.

Iowa· 8th of 51

$288

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.