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Mouth Vestibule Tissue Sample

Minnesota 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?

$302

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $708 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$288$186 to $427
FacilityA hospital or hospital-owned outpatient department$708$490 to $1,445

How much rates vary

Facilitymedian $708 · 10th to 90th $166 to $1,995Professionalmedian $288 · 10th to 90th $141 to $617
$100$200$500$1K$2Kfacility $708professional $288

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
$85.11
Median
$165.96
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$165.96
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,737.80
Typical High
$3,630.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$302.00
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$389.05
Typical High
$724.44
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$676.08
Typical High
$1,348.96
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$363.08
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$245.47
Typical High
$1,737.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$363.08
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,862.09
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$281.84
Typical High
$575.44

Where Minnesota 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.

Minnesota· 7th of 51

$302

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.