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Removal of a Benign Growth in the Upper Jaw

Michigan rates for HCPCS 21030

Removal of a noncancerous growth or cyst from the upper jaw or the cheekbone. The lesion is lifted out and the bony cavity left behind is scraped clean so it can fill in with healthy bone as it heals.

Rates data updated July 2026.

How much does Removal of a Benign Growth in the Upper Jaw cost?

$501

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $4,898 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$479$417 to $589
FacilityA hospital or hospital-owned outpatient department$4,898$2,884 to $6,918

How much rates vary

Facilitymedian $4,898 · 10th to 90th $575 to $8,913Professionalmedian $479 · 10th to 90th $355 to $776
$500$1K$2K$5K$10Kfacility $4,898professional $479

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
$575.44
Median
$4,897.79
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$457.09
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$776.25
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$794.33
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$2,884.03
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,754.40
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$524.81
Typical High
$707.95

Where Michigan sits

The same service costs 3.6 times more in California 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.

Michigan· 38th of 51

$501

CA $1,549KY $427

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.