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Mouth Vestibule Tissue Sample

Nebraska 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?

$309

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $3,802 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$234$162 to $447
FacilityA hospital or hospital-owned outpatient department$3,802$1,549 to $8,128

How much rates vary

Facilitymedian $3,802 · 10th to 90th $275 to $13,490Professionalmedian $234 · 10th to 90th $102 to $871
$100$500$2K$10Kfacility $3,802professional $234

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
$275.42
Median
$4,073.80
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$338.84
Typical High
$870.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$7,762.47
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$169.82
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$316.23
Typical High
$501.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$257.04
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$323.59
Typical High
$1,258.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$371.54
Typical High
$524.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$812.83
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$398.11

Where Nebraska 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.

Nebraska· 6th of 51

$309

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.