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Mouth Vestibule Tissue Sample

New Mexico 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 Mexico, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $1,047 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 6 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$174$123 to $234
FacilityA hospital or hospital-owned outpatient department$1,047$251 to $1,660

How much rates vary

Facilitymedian $1,047 · 10th to 90th $132 to $2,089Professionalmedian $174 · 10th to 90th $93 to $813
$100$1K$10K$100Kfacility $1,047professional $174

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
$125.89
Median
$263.03
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$173.78
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,258.93
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$134.90
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$309.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$234.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$199.53
Typical High
$380.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$186.21
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$1,318.26
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$323.59

Where New Mexico 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 Mexico· 41st 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.