go back

Mouth Vestibule Tissue Sample

North Carolina 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?

$191

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $490 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$186$126 to $288
FacilityA hospital or hospital-owned outpatient department$490$204 to $912

How much rates vary

Facilitymedian $490 · 10th to 90th $123 to $5,248Professionalmedian $186 · 10th to 90th $95 to $468
$100$200$500$1K$2K$5Kfacility $490professional $186

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
$165.96
Median
$537.03
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$169.82
Typical High
$467.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$257.04
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$199.53
Typical High
$363.08
Medcost
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$165.96
Typical High
$295.12
Medcost
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$165.96
Typical High
$346.74
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,659.59
Typical High
$1,659.59
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,412.54

Where North Carolina 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.

North Carolina· 34th of 51

$191

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.