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Mouth Vestibule Tissue Sample

South Carolina 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 negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $977 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$105 to $245
FacilityA hospital or hospital-owned outpatient department$977$229 to $4,898

How much rates vary

Facilitymedian $977 · 10th to 90th $120 to $9,772Professionalmedian $174 · 10th to 90th $93 to $407
$100$500$2K$10Kfacility $977professional $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
$104.71
Median
$4,897.79
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$177.83
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$891.25
Typical High
$1,445.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$154.88
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$338.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$169.82
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,202.26
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$162.18
Typical High
$295.12

Where South Carolina 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.

South Carolina· 27th 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.