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Mouth Vestibule Tissue Sample

Idaho 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?

$219

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $525 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 8 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$209$141 to $302
FacilityA hospital or hospital-owned outpatient department$525$209 to $1,413

How much rates vary

Facilitymedian $525 · 10th to 90th $135 to $5,129Professionalmedian $209 · 10th to 90th $117 to $490
$100$200$500$1K$2K$5K$10Kfacility $525professional $209

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
$1,412.54
Median
$4,466.84
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$218.78
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$812.83
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$302.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$204.17
Typical High
$416.87
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$338.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,230.27
Typical High
$1,819.70
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$354.81
Select Health
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$676.08
Typical High
$1,122.02
Select Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$8,317.64
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$173.78
Typical High
$323.59

Where Idaho 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.

Idaho· 17th of 51

$219

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.