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Removal of the Lip's Outer Edge With Tissue Advancement

Washington, DC rates for HCPCS 40500

This surgery removes the thin, exposed outer edge of the lip, called the vermilion border, usually because of precancerous changes or sun damage in that tissue. After the affected strip is removed, the surgeon advances the healthy inner lip lining forward and stitches it in place to recreate a normal-looking lip edge. It is most often used on the lower lip, which gets the most sun exposure.

Rates data updated July 2026.

Facilitymedian $4,074 · 10th–90th $447$7,7620%10%20%10th90th$4,074Professionalmedian $468 · 10th–90th $339$6460%10%20%10th90th$468$500.0$1.0K$2.0K$5.0K$10.0K$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
$446.68
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$645.65
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$407.38
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$457.09
Typical High
$1,122.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$645.65
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$6,606.93
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$1,047.13