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Nationwide rates for HCPCS 40812

Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair

Facilitymedian $3,020 · 10th–90th $324–$8,5110%10%10th90th$3,020Professionalmedian $309 · 10th–90th $186–$7940%20%40%10th90th$309$0.1$1.0$20.0$500.0$10.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $2,818.38 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $302.00 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $4,265.80 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $316.23 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $912.01 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $346.74 / $741.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $2,691.53 / $6,025.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $302.00 / $588.84

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