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Removal of a Growth Inside the Cheek or Lip

North Carolina rates for HCPCS 40812

Surgical removal of a growth or abnormal patch of tissue from the inside lining of the cheek or lip area, followed by simple stitches to close the wound. It is used to treat sores, irritation-related growths, or other abnormal tissue inside the mouth that need to be removed and examined. The straightforward stitching approach is used when the resulting opening is small enough not to need a more involved repair.

Rates data updated July 2026.

How much does Removal of a Growth Inside the Cheek or Lip cost?

$339

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $1,445 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 7 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$324$245 to $525
FacilityA hospital or hospital-owned outpatient department$1,445$331 to $4,898

How much rates vary

Facilitymedian $1,445 · 10th to 90th $234 to $5,623Professionalmedian $324 · 10th to 90th $186 to $832
$200$500$1K$2K$5Kfacility $1,445professional $324

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
$1,995.26
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$309.03
Typical High
$933.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$416.87
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$616.60
Medcost
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$295.12
Typical High
$489.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,548.13
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$575.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$3,890.45
Typical High
$3,890.45
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,290.87

Where North Carolina sits

The same service costs 3.1 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.

North Carolina· 25th of 51

$339

CA $832WV $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.