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Mouth Vestibule Tissue Sample

Massachusetts 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?

$200

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $1,000 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 9 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$200$129 to $295
FacilityA hospital or hospital-owned outpatient department$1,000$138 to $2,344

How much rates vary

Facilitymedian $1,000 · 10th to 90th $110 to $3,388Professionalmedian $200 · 10th to 90th $100 to $513
$100$200$500$1K$2K$5Kfacility $1,000professional $200

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
$199.53
Median
$2,089.30
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$173.78
Typical High
$575.44
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,023.29
Typical High
$2,818.38
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$194.98
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$239.88
Typical High
$457.09
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$128.82
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$239.88
Typical High
$331.13
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,041.74
Typical High
$3,467.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$204.17
Typical High
$436.52
Health New England
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$501.19
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,023.29
Typical High
$2,818.38
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$194.98
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,819.70
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$218.78
Typical High
$467.74

Where Massachusetts 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.

Massachusetts· 24th of 51

$200

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.