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V-Shaped Lip Lesion Removal With Direct Closure

North Carolina 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?

$1,423

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $1,423 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $933 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$490$389 to $617
Facility feeThe hospital or surgery center$933$490 to $3,311

How much rates vary

Facilitymedian $933 · 10th to 90th $372 to $7,079Professionalmedian $490 · 10th to 90th $347 to $1,202
$500$1K$2K$5K$10Kfacility $933professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,348.96
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$489.78
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$616.60
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$1,023.29
Medcost
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$758.58
Medcost
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,548.13
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$831.76
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$28,840.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$4,265.80

Where North Carolina sits

The same service costs 7.8 times more in Maine 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.

Physician feeFacility fee

North Carolina· 46th of 50

$1,423

$490 physician + $933 facility

ME $7,363WV $946

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.