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Unlisted Procedure Of The Mouth Vestibule

Pennsylvania rates for HCPCS 40899

Covers an operation on the vestibule of the mouth, the space between the lips or cheeks and the gums and teeth, that has no standard named entry of its own. The surgeon submits a written report describing exactly what was done so the service can be reviewed and priced.

Rates data updated July 2026.

How much does Unlisted Procedure Of The Mouth Vestibule cost?

$6,026

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $6,026 for this service. The price depends on where it is billed: about $7,244 from a physician practice, and about $6,026 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$7,244$1,585 to $64,565
FacilityA hospital or hospital-owned outpatient department$6,026$2,630 to $7,586

How much rates vary

Facilitymedian $6,026 · 10th to 90th $724 to $8,511Professionalmedian $7,244 · 10th to 90th $1,413 to $64,565
$100$1K$10Kfacility $6,026professional $7,244

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
$1,412.54
Median
$6,606.93
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,659.59
Typical High
$7,762.47
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$64,565.42
Typical High
$64,565.42
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$5,370.32
Typical High
$9,549.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,659.59
Typical High
$7,762.47
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$35.48
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$616.60
Typical High
$3,890.45

Where Pennsylvania sits

The same service costs 97.7 times more in Wisconsin than in Maryland. 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.

Pennsylvania· 12th of 49

$6,026

WI $12,589MD $129

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.