go back

Removal of a Noncancerous Growth from the Jawbone

Wisconsin 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.

Facilitymedian $4,571 · 10th–90th $692$7,7620%10%10th90th$4,571Professionalmedian $589 · 10th–90th $355$1,7380%10%10th90th$589$50.0$200.0$1.0K$5.0K

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
$363.08
Median
$758.58
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$1,000.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,786.30
Typical High
$7,585.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$758.58
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,445.44
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,122.02
Typical High
$2,187.76
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$691.83
Typical High
$3,548.13
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$724.44
Typical High
$7,943.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,023.29
Typical High
$3,467.37
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$549.54
Network Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$5,754.40
Typical High
$7,762.47
Network Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,202.26
Typical High
$1,737.80
Quartz
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,096.48
Typical High
$1,659.59
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$5,370.32
Typical High
$7,943.28
Quartz
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$2,398.83
Typical High
$3,388.44
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,548.82
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,344.23
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$7,585.78
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$707.95
Typical High
$1,819.70