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Full-Thickness Lip Removal With Reconstruction

Nationwide rates for HCPCS 40525

Removes a full-thickness section of the lip containing a growth, taking the skin, the muscle, and the lining together. Neighbouring lip tissue is then moved across to close the gap and rebuild the lip's shape and border. Removal and rebuilding are done at the same operation.

Rates data updated July 2026.

How much does Full-Thickness Lip Removal With Reconstruction cost?

$5,000

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $5,000 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $4,169 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 52 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$832$617 to $1,175
Facility feeThe hospital or surgery center$4,169$2,042 to $6,918

How much rates vary

Facilitymedian $4,169 · 10th to 90th $851 to $10,715Professionalmedian $832 · 10th to 90th $513 to $1,738
$200$500$1K$2K$5K$10K$20Kfacility $4,169professional $832

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
$776.25
Median
$3,548.13
Typical High
$9,772.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$5,128.61
Typical High
$11,481.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,659.59
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,168.69
Typical High
$9,772.37

What it costs in each state

The same service costs 3.8 times more in South Carolina than in South Dakota. 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

Touch or drag across the chart to see any state's rate.

SC $7,519SD $1,957

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.