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Removal of More Than One-Fourth of the Lip

New York 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?

$3,981

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $3,981 for this service. Most negotiated rates run $1,905 to $6,166.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,981 · 10th to 90th $589 to $8,511
$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $3,981

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
$512.86
Median
$2,951.21
Typical High
$7,762.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,698.24
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,659.59
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$537.03
Typical High
$1,412.54
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,981.07
Typical High
$9,332.54
Univera
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$1,621.81

Where New York 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.

New York $3,981 · 14th 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.