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V-Shaped Lip Lesion Removal With Direct Closure

Maryland 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?

$490

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $490 for this service. Most negotiated rates run $407 to $617.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $708 · 10th to 90th $447 to $6,761Professionalmedian $490 · 10th to 90th $339 to $1,023
$500$1K$2K$5Kfacility $708professional $490

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. 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
Global
Typical Low
$407.38
Median
$575.44
Typical High
$1,995.26
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$363.08
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$870.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$707.95
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$933.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$549.54
Typical High
$851.14

Where Maryland 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.

Maryland· 48th of 51

$490

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.