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Mouth Vestibule Tissue Sample

Kentucky 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?

$162

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $1,905 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$151$105 to $178
FacilityA hospital or hospital-owned outpatient department$1,905$1,072 to $2,630

How much rates vary

Facilitymedian $1,905 · 10th to 90th $182 to $3,311Professionalmedian $151 · 10th to 90th $87 to $269
$100$200$500$1K$2K$5Kfacility $1,905professional $151

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
$107.15
Median
$398.11
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$158.49
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$199.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$141.25
Typical High
$204.17
CareSource
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$112.20
Typical High
$131.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$194.98
Typical High
$812.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$724.44
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$158.49
Typical High
$275.42

Where Kentucky 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.

Kentucky· 51st of 51

$162

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.