go back

Removal of Mouth Lining Lesion, No Stitches

Illinois rates for HCPCS 40810

Removal of a growth or abnormal patch from the lining inside the mouth, in the pocket where the lip and cheek meet the gum. The lesion and a small amount of the tissue just beneath it are taken out and sent for laboratory examination. The wound is left to heal on its own rather than being closed with stitches.

Rates data updated July 2026.

How much does Removal of Mouth Lining Lesion, No Stitches cost?

$234

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $1,380 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 6 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$219$151 to $288
FacilityA hospital or hospital-owned outpatient department$1,380$537 to $3,236

How much rates vary

Facilitymedian $1,380 · 10th to 90th $219 to $5,623Professionalmedian $219 · 10th to 90th $123 to $389
$50.0$200.0$1.0K$5.0K$20.0Kfacility $1,380professional $219

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
$218.78
Median
$1,258.93
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$213.80
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$4,265.80
Typical High
$5,623.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$213.80
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$218.78
Typical High
$371.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$302.00
Typical High
$630.96
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$151.36
Typical High
$281.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,818.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$389.05

Where Illinois sits

The same service costs 5.6 times more in Oklahoma than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $234 · 28th of 51
OK $1,000KY $178

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.