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Removal of the Lip's Outer Edge With Tissue Advancement

Vermont 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 October 2026.

How much does Removal of the Lip's Outer Edge With Tissue Advancement cost?

$692

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $692 for this service. Most negotiated rates run $550 to $794.

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.

How much rates vary

Facilitymedian $1,259 · 10th to 90th $407 to $3,311Professionalmedian $661 · 10th to 90th $427 to $1,096
$500$1K$2Kfacility $1,259professional $661

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
Professional
Modifier
None
Typical Low
$398.11
Median
$478.63
Typical High
$691.83
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$758.58
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$707.95
Typical High
$812.83
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$891.25
Typical High
$891.25
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$741.31
Typical High
$1,122.02

Where Vermont sits

The same service costs 4.4 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.

Vermont· 21st of 51

$692

AK $1,950TX $447

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.