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Wedge Removal Of Lip Lesion With Closure

Hawaii 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 October 2026.

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

$1,834

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $1,834 for this procedure. That total is two separate charges: $575 to the doctor who performs it, and $1,259 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$575$363 to $646
Facility feeThe hospital or surgery center$1,259$1,096 to $2,570

How much rates vary

Facilitymedian $1,259 · 10th to 90th $977 to $3,890Professionalmedian $575 · 10th to 90th $30 to $708
$50$100$200$500$1K$2K$5Kfacility $1,259professional $575

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
$933.25
Median
$2,818.38
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$489.78
Typical High
$831.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$1,096.48
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$588.84
Typical High
$660.69
United
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,511.89
Typical High
$2,570.40
United
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$645.65
Typical High
$645.65
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$478.63
Typical High
$4,168.69

Where Hawaii sits

The same service costs 3.9 times more in Colorado than in Montana. 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.

Physician feeFacility fee

Hawaii· 46th of 51

$1,834

$575 physician + $1,259 facility

CO $4,927MT $1,254

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.