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V-Shaped Lip Lesion Removal With Direct Closure

Hawaii rates for HCPCS 40520

Removal of a growth or lesion from the lip using a V-shaped cut, with the resulting wound then brought together and closed directly in a simple line. This approach does not require borrowing or repositioning tissue from a nearby area.

Rates data updated July 2026.

How much does V-Shaped Lip Lesion Removal With Direct Closure cost?

$1,995

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $1,995 for this service. Most negotiated rates run $851 to $4,571.

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 $3,890 · 10th to 90th $1,148 to $3,890Professionalmedian $1,995 · 10th to 90th $447 to $5,370
$50$100$200$500$1K$2K$5Kfacility $3,890professional $1,995

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
$1,148.15
Median
$3,890.45
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$794.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$616.60
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$741.31
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$2,041.74
Typical High
$5,370.32

Where Hawaii sits

The same service costs 5.8 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.

Hawaii· 2nd of 51

$1,995

CA $2,692WV $468

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.