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Full-Thickness Lip Removal With Flap Repair

South Dakota rates for HCPCS 40527

Removal of a growth from the lip through its full thickness — the outer skin, the muscle beneath and the moist lining inside — followed by rebuilding the gap with a flap of neighbouring tissue that keeps its own blood supply. Reconstructing this way restores the shape of the mouth and the ability to close the lips, speak and eat. It is used when the area removed is too large to simply stitch together.

Rates data updated October 2026.

How much does Full-Thickness Lip Removal With Flap Repair cost?

$2,772

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

Insurers have agreed to pay about $2,772 for this procedure. That total is two separate charges: $1,259 to the doctor who performs it, and $1,514 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$1,259$1,023 to $1,445
Facility feeThe hospital or surgery center$1,514$955 to $2,692

How much rates vary

Facilitymedian $1,514 · 10th to 90th $912 to $3,311Professionalmedian $1,259 · 10th to 90th $631 to $1,698
$1K$2K$5Kfacility $1,514professional $1,259

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$660.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$3,019.95
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,445.44
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$1,479.11
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$1,288.25
Typical High
$6,456.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$1,412.54
Midlands
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$3,019.95
Typical High
$4,073.80
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,047.13
Typical High
$1,230.27
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,819.70
United
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$1,230.27
Typical High
$1,698.24
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,412.54
Typical High
$1,412.54

Where South Dakota sits

The same service costs 5.0 times more in Alaska than in Montana. 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· 35th of 51

$2,772

$1,259 physician + $1,514 facility

AK $9,177MT $1,846

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.