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Mouth Vestibule Tissue Sample

Tennessee 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?

$200

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $1,380 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$170$120 to $234
FacilityA hospital or hospital-owned outpatient department$1,380$603 to $2,399

How much rates vary

Facilitymedian $1,380 · 10th to 90th $295 to $3,236Professionalmedian $170 · 10th to 90th $87 to $407
$100$200$500$1K$2K$5Kfacility $1,380professional $170

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
$354.81
Median
$1,778.28
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$165.96
Typical High
$354.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,479.11
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$204.17
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$177.83
Typical High
$309.03
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$1,659.59
Typical High
$1,659.59
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$794.33
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$173.78
Typical High
$331.13

Where Tennessee 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.

Tennessee· 23rd of 51

$200

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.