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Excision Of A Mouth-Lining Lesion With Muscle

Alaska rates for HCPCS 40816

This surgery removes a growth or lesion from the lining of the inside of the mouth, taking the lesion along with the layer of muscle beneath it. It is used when the lesion extends into the deeper muscle layer, so a simple surface removal would not fully address it. Removing the underlying muscle helps ensure the growth is completely excised.

Rates data updated July 2026.

How much does Excision Of A Mouth-Lining Lesion With Muscle cost?

$2,025

Typical total for the visit. In Alaska, July 2026.

Insurers have agreed to pay about $2,025 for this procedure. That total is two separate charges: $1,230 to the doctor who performs it, and $794 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,230$537 to $1,778
Facility feeThe hospital or surgery center$794$457 to $2,042

How much rates vary

Facilitymedian $794 · 10th to 90th $363 to $6,607Professionalmedian $1,230 · 10th to 90th $339 to $2,291
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $794professional $1,230

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,949.84
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$707.95
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$1,000.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$549.54
Typical High
$2,290.87
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,230.27
Typical High
$2,630.27
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,659.59
Typical High
$2,290.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$549.54
Typical High
$2,290.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$676.08
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,023.29
Typical High
$2,344.23

Where Alaska sits

The same service costs 10.6 times more in Wyoming than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeAlaska $2,025 · 40th of 50
WY $7,991WV $752

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.