go back

Full-Thickness Lip Removal With Flap Repair

Virginia 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 July 2026.

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

$4,209

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

Insurers have agreed to pay about $4,209 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $3,467 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$741$661 to $1,047
Facility feeThe hospital or surgery center$3,467$912 to $6,918

How much rates vary

Facilitymedian $3,467 · 10th to 90th $692 to $8,913Professionalmedian $741 · 10th to 90th $617 to $3,236
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,467professional $741

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
$741.31
Median
$3,630.78
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$3,630.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$812.83
Typical High
$1,148.15
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$1,258.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$645.65
Typical High
$758.58
Medcost
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,096.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$1,258.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Sentara
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$8,912.51
Sentara
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$8,912.51
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,606.93
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$1,202.26

Where Virginia sits

The same service costs 11.7 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeVirginia $4,209 · 29th of 50
IN $14,465WV $1,233

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.