go back

Mouth Vestibule Tissue Sample

Maryland 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?

$195

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $132 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$195$120 to $282
FacilityA hospital or hospital-owned outpatient department$132$97.72 to $234

How much rates vary

Facilitymedian $132 · 10th to 90th $98 to $234Professionalmedian $195 · 10th to 90th $91 to $813
$100$200$500$1K$2K$5K$10Kfacility $132professional $195

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$194.98
Typical High
$831.76
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$181.97
Typical High
$338.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$162.18
Typical High
$302.00
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$234.42
Typical High
$275.42

Where Maryland 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.

Maryland· 29th of 51

$195

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.