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Difficult Removal of an Object From the Mouth Lining

New Mexico rates for HCPCS 40805

Removes an object embedded in the tissue between the lips or cheeks and the gums, in cases that need more than a straightforward extraction — for example when it lies deep, is fragmented, or is surrounded by inflamed tissue. Reaching it may require cutting into the tissue and dissecting around it. The wound is cleaned and closed afterwards.

Rates data updated July 2026.

How much does Difficult Removal of an Object From the Mouth Lining cost?

$309

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $457 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$309$282 to $437
FacilityA hospital or hospital-owned outpatient department$457$295 to $1,380

How much rates vary

Facilitymedian $457 · 10th to 90th $257 to $2,344Professionalmedian $309 · 10th to 90th $195 to $1,096
$50$100$200$500$1K$2K$5Kfacility $457professional $309

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
$281.84
Median
$457.09
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$398.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$724.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$363.08
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$1,318.26
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$602.56

Where New Mexico sits

The same service costs 11.2 times more in California than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Mexico· 41st of 51

$309

CA $3,020WV $269

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.