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Mouth Vestibule Tissue Sample

North Dakota 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 North Dakota, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $162 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 5 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$162 to $331
FacilityA hospital or hospital-owned outpatient department$162$87.10 to $166

How much rates vary

Facilitymedian $162 · 10th to 90th $85 to $2,042Professionalmedian $200 · 10th to 90th $98 to $427
$100$200$500$1K$2K$5Kfacility $162professional $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
$85.11
Median
$162.18
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$162.18
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$251.19
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$257.04
Typical High
$537.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$162.18
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$295.12
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$208.93
Typical High
$380.19

Where North Dakota 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 Dakota· 28th 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.