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Mouth Vestibule Tissue Sample

West 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?

$186

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $1,514 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 5 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$182$120 to $209
FacilityA hospital or hospital-owned outpatient department$1,514$174 to $3,311

How much rates vary

Facilitymedian $1,514 · 10th to 90th $91 to $3,311Professionalmedian $182 · 10th to 90th $87 to $363
$100$200$500$1K$2K$5Kfacility $1,514professional $182

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
$91.20
Median
$1,513.56
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$181.97
Typical High
$363.08
CareSource
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$112.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$177.83
Typical High
$812.83
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,202.26
Typical High
$2,511.89
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$933.25
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$134.90
Typical High
$251.19

Where West 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.

West Virginia· 37th of 51

$186

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.