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Removal of the Lip's Outer Edge With Tissue Advancement

Wyoming 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?

$1,380

Typical negotiated rate. In Wyoming, October 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $3,467 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,175$851 to $1,820
FacilityA hospital or hospital-owned outpatient department$3,467$1,622 to $3,467

How much rates vary

Facilitymedian $3,467 · 10th to 90th $1,072 to $3,631Professionalmedian $1,175 · 10th to 90th $537 to $2,138
$500$1K$2K$5Kfacility $3,467professional $1,175

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
$371.54
Median
$371.54
Typical High
$537.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$380.19
Typical High
$537.03
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,513.56
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,137.96
Median
$3,548.13
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$676.08
Typical High
$1,023.29
United
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$1,288.25
Typical High
$5,370.32
United
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$724.44
Typical High
$1,412.54

Where Wyoming 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.

Wyoming· 3rd of 51

$1,380

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.