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Removal of More Than One-Fourth of the Lip

North Carolina 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?

$933

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $933 for this service. Most negotiated rates run $550 to $4,365.

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.

How much rates vary

Facilitymedian $933 · 10th to 90th $417 to $7,586Professionalmedian $741 · 10th to 90th $741 to $832
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $933professional $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. 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
Global
Typical Low
$549.54
Median
$1,513.56
Typical High
$7,244.36
Medcost
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$831.76
Medcost
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,760.83
Typical High
$12,882.50
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$28,840.32

Where North Carolina sits

The same service costs 12.6 times more in Wyoming than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $933 · 43rd of 50
WY $6,761ND $537

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.