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Removal Of A Noncancerous Growth From Upper Jaw

Montana 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?

$1,820

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,820 from a physician practice, and about $1,778 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$1,820$1,259 to $1,950
FacilityA hospital or hospital-owned outpatient department$1,778$1,738 to $2,042

How much rates vary

Facilitymedian $1,778 · 10th to 90th $1,738 to $4,898Professionalmedian $1,820 · 10th to 90th $85 to $2,042
$100$200$500$1K$2K$5K$10Kfacility $1,778professional $1,820

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,288.25
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$4,897.79
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,778.28
Typical High
$1,995.26
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,737.80
Typical High
$1,862.09
Providence
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$4,897.79
Typical High
$13,803.84
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,698.24
Typical High
$1,949.84
United
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,995.26
Typical High
$2,238.72

Where Montana 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.

Montana· 20th of 51

$1,820

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.