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Mouth Vestibule Tissue Sample

Rhode Island 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?

$195

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $195 for this service. Most negotiated rates run $123 to $234.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,479 · 10th to 90th $537 to $3,981Professionalmedian $178 · 10th to 90th $115 to $234
$100$200$500$1K$2K$5Kfacility $1,479professional $178

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,548.82
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$199.53
Typical High
$234.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$194.98
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$144.54
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,230.27
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$158.49
Typical High
$302.00

Where Rhode Island 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.

Rhode Island· 26th of 51

$195

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.