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Removal Of A Noncancerous Growth From Upper Jaw

Hawaii rates for HCPCS 21049

Surgery to remove a noncancerous growth or cyst from the upper jaw bone. Because of the size or position of the growth, the surgeon cuts through and removes a section of the jaw bone along with it rather than simply scooping it out.

Rates data updated October 2026.

How much does Removal Of A Noncancerous Growth From Upper Jaw cost?

$1,445

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $3,548 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,445$1,230 to $1,445
FacilityA hospital or hospital-owned outpatient department$3,548$2,818 to $3,890

How much rates vary

Facilitymedian $3,548 · 10th to 90th $1,445 to $3,890Professionalmedian $1,445 · 10th to 90th $209 to $1,445
$200$500$1K$2K$5Kfacility $3,548professional $1,445

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,230.27
Typical High
$1,698.24
United
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,548.13
Typical High
$5,754.40
United
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,445.44
Typical High
$1,445.44
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93

Where Hawaii sits

The same service costs 16.6 times more in Alaska than in Texas. 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.

Hawaii· 31st of 51

$1,445

AK $4,677TX $282

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.