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Mouth Vestibule Tissue Sample

Oregon 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?

$245

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $331 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 8 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$229$170 to $363
FacilityA hospital or hospital-owned outpatient department$331$234 to $427

How much rates vary

Facilitymedian $331 · 10th to 90th $158 to $4,677Professionalmedian $229 · 10th to 90th $117 to $537
$100$500$2K$10Kfacility $331professional $229

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
$234.42
Median
$457.09
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$204.17
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$245.47
Typical High
$416.87
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$223.87
Typical High
$389.05
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$269.15
Typical High
$389.05
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$331.13
Typical High
$363.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$229.09
Typical High
$416.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$234.42
Typical High
$436.52
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,778.28
Typical High
$2,187.76
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$316.23
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$1,621.81
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$239.88
Typical High
$436.52

Where Oregon 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.

Oregon· 12th of 51

$245

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.