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V-Shaped Lip Lesion Removal With Direct Closure

Nebraska 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?

$5,175

Typical total for the visit. In Nebraska, July 2026.

Insurers have agreed to pay about $5,175 for this procedure. That total is two separate charges: $708 to the doctor who performs it, and $4,467 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$708$468 to $1,047
Facility feeThe hospital or surgery center$4,467$3,020 to $8,128

How much rates vary

Facilitymedian $4,467 · 10th to 90th $891 to $13,490Professionalmedian $708 · 10th to 90th $331 to $1,995
$500$1K$2K$5K$10K$20Kfacility $4,467professional $708

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
$2,344.23
Median
$6,025.60
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$660.69
Typical High
$2,884.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$4,677.35
Typical High
$9,120.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$645.65
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$1,202.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$831.76
Typical High
$4,786.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,023.29
Typical High
$3,715.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,445.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$3,311.31
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$831.76
Typical High
$1,318.26

Where Nebraska 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

Nebraska· 10th of 50

$5,175

$708 physician + $4,467 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.