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Removal of a Noncancerous Growth from the Jawbone

California rates for HCPCS 21040

Surgical removal of a noncancerous growth or cyst from within the lower jawbone, done by scraping or scooping out the abnormal tissue from inside the bone. It is used to treat cysts or benign tumors that have formed within the jaw, which can weaken the bone or crowd nearby teeth if left untreated. The surgeon works through an opening to reach and clear out the affected area of bone.

Rates data updated July 2026.

Facilitymedian $5,754 · 10th–90th $1,202$13,8040%5%10th90th$5,754Professionalmedian $525 · 10th–90th $347$2,3440%10%10th90th$525$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$6,456.54
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$2,630.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,888.44
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$588.84
Typical High
$1,230.27
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$4,365.16
Typical High
$8,912.51
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$501.19
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$1,096.48
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$446.68
Typical High
$812.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$933.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,890.45
Typical High
$3,890.45
Molina
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$645.65
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$891.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$1,096.48
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,659.59
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$7,413.10
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$1,023.29