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Mouth Vestibule Tissue Sample

Illinois 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?

$191

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $1,148 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$170$115 to $234
FacilityA hospital or hospital-owned outpatient department$1,148$437 to $2,188

How much rates vary

Facilitymedian $1,148 · 10th to 90th $170 to $4,786Professionalmedian $170 · 10th to 90th $89 to $331
$100$200$500$1K$2K$5K$10Kfacility $1,148professional $170

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
$1,258.93
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$169.82
Typical High
$354.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$776.25
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$169.82
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$173.78
Typical High
$309.03
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$239.88
Typical High
$602.56
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$112.20
Typical High
$223.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$707.95
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$173.78
Typical High
$302.00

Where Illinois 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.

Illinois· 32nd of 51

$191

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.