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V-Shaped Lip Lesion Removal With Direct Closure

Ohio 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?

$3,374

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

Insurers have agreed to pay about $3,374 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $2,884 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$490$380 to $661
Facility feeThe hospital or surgery center$2,884$1,413 to $5,012

How much rates vary

Facilitymedian $2,884 · 10th to 90th $562 to $10,233Professionalmedian $490 · 10th to 90th $347 to $1,096
$500$1K$2K$5K$10Kfacility $2,884professional $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
$537.03
Median
$3,019.95
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$3,715.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,818.38
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$776.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$954.99
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$562.34
Typical High
$933.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$512.86
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,570.40
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$758.58

Where Ohio 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

Ohio· 25th of 50

$3,374

$490 physician + $2,884 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.