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Mouth Vestibule Tissue Sample

Indiana 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?

$182

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $3,631 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$155$102 to $195
FacilityA hospital or hospital-owned outpatient department$3,631$2,455 to $5,495

How much rates vary

Facilitymedian $3,631 · 10th to 90th $537 to $8,128Professionalmedian $155 · 10th to 90th $87 to $263
$100$200$500$1K$2K$5K$10Kfacility $3,631professional $155

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
$112.20
Median
$2,454.71
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$158.49
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$151.36
Typical High
$204.17
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,073.80
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$151.36
Typical High
$263.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$91.20
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$158.49
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$2,137.96
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$151.36
Typical High
$269.15

Where Indiana 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.

Indiana· 42nd of 51

$182

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.