Removal of More Than One-Fourth of the Lip

Nationwide rates for HCPCS 40530

Surgery performed as treatment that removes more than one-fourth of the lip. Rebuilding the lip afterward is not part of this service; reconstruction, when needed, is its own procedure.

Rates data updated July 2026.

How much does Removal of More Than One-Fourth of the Lip cost?

$4,667

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $4,667 for this procedure. That total is two separate charges: $776 to the doctor who performs it, and $3,890 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

17% physician fee83% facility fee

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 bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$776	$575 to $1,096
Facility feeThe hospital or surgery center	The hospital or surgery center	$3,890	$1,514 to $6,607

How much rates vary

Facilitymedian $3,890 · 10th to 90th $617 to $10,233Professionalmedian $776 · 10th to 90th $407 to $1,514

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $588.84 Median $3,090.30 Typical High $9,120.11	Facility	Global	$588.84	$3,090.30	$9,120.11
BCBS Setting Facility Modifier Global Typical Low $1,819.70 Median $5,128.61 Typical High $11,481.54	Facility	Global	$1,819.70	$5,128.61	$11,481.54
Cigna Setting Facility Modifier Global Typical Low $575.44 Median $1,659.59 Typical High $4,570.88	Facility	Global	$575.44	$1,659.59	$4,570.88
United Setting Facility Modifier Global Typical Low $1,479.11 Median $4,168.69 Typical High $9,549.93	Facility	Global	$1,479.11	$4,168.69	$9,549.93

What it costs in each state

The same service costs 4.0 times more in South Carolina than in South Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

SC $6,455SD $1,626

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.