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Mouth Vestibule Tissue Sample

Missouri 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?

$234

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $1,660 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$170$110 to $245
FacilityA hospital or hospital-owned outpatient department$1,660$724 to $3,090

How much rates vary

Facilitymedian $1,660 · 10th to 90th $178 to $5,012Professionalmedian $170 · 10th to 90th $87 to $363
$50$100$200$500$1K$2K$5Kfacility $1,660professional $170

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
$95.50
Median
$1,778.28
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$169.82
Typical High
$363.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$218.78
Typical High
$218.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$162.18
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$162.18
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$199.53
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$208.93
Typical High
$1,071.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$316.23
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$630.96
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$186.21
Typical High
$338.84

Where Missouri 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.

Missouri· 14th of 51

$234

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.