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Nationwide rates for HCPCS 40816

Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle

Facilitymedian $3,890 · 10th–90th $562–$9,7720%10%20%10th90th$3,890Professionalmedian $427 · 10th–90th $302–$9550%20%10th90th$427$0.2$5.0$100.0$2.0K$50.0K$1.0M

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
$537.03 / $3,388.44 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $416.87 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $5,248.07 / $12,022.64
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $467.74 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,479.11 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $512.86 / $1,096.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $4,168.69 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $446.68 / $851.14

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