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V-Shaped Lip Lesion Removal With Direct Closure

South Dakota 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?

$1,433

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $1,433 for this procedure. That total is two separate charges: $692 to the doctor who performs it, and $741 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$692$468 to $871
Facility feeThe hospital or surgery center$741$513 to $1,995

How much rates vary

Facilitymedian $741 · 10th to 90th $437 to $4,365Professionalmedian $692 · 10th to 90th $339 to $1,148
$500$1K$2K$5Kfacility $741professional $692

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
$354.81
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$436.52
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$660.69
Typical High
$1,288.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$977.24
Typical High
$3,715.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$812.83
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,023.29
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$741.31
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$741.31
Typical High
$1,230.27
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$831.76
Typical High
$1,318.26

Where South Dakota 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

South Dakota· 45th of 50

$1,433

$692 physician + $741 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.