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Wedge Removal Of Lip Lesion With Closure

Washington, DC rates for HCPCS 40510

This removes a section of the lip, typically to take out a lesion or abnormal area, using a wedge-shaped cut that allows the remaining edges to be stitched directly back together. It's used when the affected area is small enough that the lip can be closed in a simple, straight-line repair without needing tissue borrowed from elsewhere. The goal is to remove the problem area while preserving the natural shape and function of the lip.

Rates data updated July 2026.

How much does Wedge Removal Of Lip Lesion With Closure cost?

$468

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $468 for this service. Most negotiated rates run $417 to $589.

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 $4,074 · 10th to 90th $417 to $7,762Professionalmedian $447 · 10th to 90th $339 to $589
$500$1K$2K$5K$10K$20Kfacility $4,074professional $447

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
Facility
Modifier
Global
Typical Low
$416.87
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$416.87
Typical High
$588.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$389.05
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$1,047.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$10,000.00
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$1,000.00

Where Washington, DC sits

The same service costs 5.0 times more in California than in West Virginia. 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.

Washington, DC· 50th of 51

$468

CA $2,239WV $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.