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V-Shaped Lip Lesion Removal With Direct Closure

West Virginia 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?

$946

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $946 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $479 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$468$347 to $537
Facility feeThe hospital or surgery center$479$347 to $562

How much rates vary

Facilitymedian $479 · 10th to 90th $347 to $1,622Professionalmedian $468 · 10th to 90th $339 to $617
$500$1K$2K$5K$10Kfacility $479professional $468

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
$346.74
Median
$478.63
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$616.60
CareSource
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$457.09
CareSource
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$537.03
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,511.89
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$758.58

Where West Virginia 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

West Virginia· 50th of 50

$946

$468 physician + $479 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.