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Mouth Vestibule Tissue Sample

New Jersey 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?

$182

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $4,677 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$166$97.72 to $224
FacilityA hospital or hospital-owned outpatient department$4,677$2,754 to $6,918

How much rates vary

Facilitymedian $4,677 · 10th to 90th $302 to $10,471Professionalmedian $166 · 10th to 90th $83 to $479
$100$200$500$1K$2K$5K$10Kfacility $4,677professional $166

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
$245.47
Median
$5,128.61
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$165.96
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$199.53
Typical High
$489.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$323.59
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,584.89
Typical High
$2,570.40
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$173.78
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$141.25
Typical High
$323.59

Where New Jersey 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.

New Jersey· 44th of 51

$182

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.