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Mouth Vestibule Tissue Sample

Virginia 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?

$191

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $871 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$170$120 to $219
FacilityA hospital or hospital-owned outpatient department$871$155 to $3,631

How much rates vary

Facilitymedian $871 · 10th to 90th $112 to $7,079Professionalmedian $170 · 10th to 90th $100 to $331
$100$200$500$1K$2K$5K$10Kfacility $871professional $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
$151.36
Median
$2,818.38
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$169.82
Typical High
$331.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$162.18
Typical High
$269.15
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$302.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$199.53
Typical High
$537.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$213.80
Typical High
$398.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$194.98
Typical High
$323.59
Sentara
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$131.83
Typical High
$1,659.59
Sentara
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$234.42
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$151.36
Typical High
$288.40

Where Virginia 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.

Virginia· 31st of 51

$191

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.