go back

Mouth Vestibule Tissue Sample

Utah 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?

$263

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $3,020 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 7 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$251$138 to $316
FacilityA hospital or hospital-owned outpatient department$3,020$724 to $3,981

How much rates vary

Facilitymedian $3,020 · 10th to 90th $141 to $4,571Professionalmedian $251 · 10th to 90th $85 to $372
$100$200$500$1K$2K$5Kfacility $3,020professional $251

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
$141.25
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$263.03
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$190.55
Typical High
$281.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$269.15
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,023.29
Typical High
$1,513.56
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$204.17
Typical High
$295.12
Select Health
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$295.12
Typical High
$346.74
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$204.17
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$169.82
Typical High
$323.59

Where Utah 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.

Utah· 9th of 51

$263

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.