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Removal of More Than One-Fourth of the Lip

Pennsylvania 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?

$3,802

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $3,802 for this service. Most negotiated rates run $1,660 to $5,370.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,802 · 10th to 90th $603 to $8,318
$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $3,802

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
$602.56
Median
$3,890.45
Typical High
$8,317.64
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$3,090.30
Typical High
$8,317.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,698.24
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,715.35
Typical High
$9,772.37

Where Pennsylvania 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.

Pennsylvania $3,802 · 15th 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.