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Removal Of A Noncancerous Growth From Upper Jaw

Pennsylvania 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 July 2026.

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

$1,230

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,230 for this service. Most negotiated rates run $1,122 to $1,479.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $1,230 · 10th to 90th $1,072 to $1,820
$1K$2K$5Kprofessional $1,230

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
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,230.27
Typical High
$1,698.24
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,445.44
Typical High
$2,398.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,621.81
Typical High
$2,089.30
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,380.38
Typical High
$2,398.83
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,258.93
Typical High
$2,570.40
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$1,548.82
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,122.02
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,412.54
Typical High
$2,398.83

Where Pennsylvania sits

The same service costs 2.8 times more in Alaska 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.

Pennsylvania· 42nd of 51

$1,230

AK $3,020KY $1,096

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.