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V-Shaped Lip Lesion Removal With Direct Closure

New Jersey 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?

$6,378

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $6,378 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $5,888 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$490$372 to $617
Facility feeThe hospital or surgery center$5,888$4,467 to $7,943

How much rates vary

Facilitymedian $5,888 · 10th to 90th $1,259 to $10,471Professionalmedian $490 · 10th to 90th $331 to $2,455
$500$1K$2K$5K$10Kfacility $5,888professional $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
$891.25
Median
$6,025.60
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$524.81
Typical High
$1,174.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$707.95
Typical High
$851.14
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$10,471.29
Typical High
$16,595.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$537.03
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,128.61
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$912.01

Where New Jersey 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

New Jersey· 4th of 50

$6,378

$490 physician + $5,888 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.