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Removal Of Mouth Lining Growth With Complex Repair

New Jersey rates for HCPCS 40814

This is the surgical removal of an abnormal growth from the soft tissue lining the inside of the lips and cheeks, in the area where they meet the gums. Because of the size or location of the growth, closing the wound afterward requires a more involved repair than simple stitching.

Rates data updated July 2026.

How much does Removal Of Mouth Lining Growth With Complex Repair cost?

$398

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $6,026 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$380$295 to $525
FacilityA hospital or hospital-owned outpatient department$6,026$4,467 to $7,943

How much rates vary

Facilitymedian $6,026 · 10th to 90th $676 to $10,715Professionalmedian $380 · 10th to 90th $275 to $1,023
$500$1K$2K$5K$10Kfacility $6,026professional $380

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
$501.19
Median
$6,025.60
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$363.08
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$478.63
Typical High
$954.99
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$724.44
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$12,302.69
Typical High
$16,982.44
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$446.68
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$354.81
Typical High
$758.58

Where New Jersey sits

The same service costs 5.4 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 Jersey· 47th of 51

$398

CA $1,905WV $355

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.