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Mouth Vestibule Tissue Sample

Ohio 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?

$186

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $1,698 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 9 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$158$107 to $209
FacilityA hospital or hospital-owned outpatient department$1,698$479 to $3,467

How much rates vary

Facilitymedian $1,698 · 10th to 90th $174 to $9,550Professionalmedian $158 · 10th to 90th $87 to $363
$50$200$1K$5Kfacility $1,698professional $158

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
$162.18
Median
$1,698.24
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$165.96
Typical High
$2,630.27
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,137.96
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$245.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$91.20
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$177.83
Typical High
$331.13
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$190.55
Typical High
$331.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$77.62
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$165.96
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$912.01
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$154.88
Typical High
$263.03

Where Ohio 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.

Ohio· 36th of 51

$186

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.