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Lip or Cheek Frenulum Removal

New Mexico rates for HCPCS 40819

This is the surgical removal of the small band of tissue that connects the inside of the lip or cheek to the gum. It's often done when that band is unusually tight, restricts lip movement, or pulls on the gum line in a way that risks gum recession. The tissue is cut and the area is left to heal, sometimes with a stitch or two.

Rates data updated October 2026.

How much does Lip or Cheek Frenulum Removal cost?

$380

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $955 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$331$263 to $389
FacilityA hospital or hospital-owned outpatient department$955$646 to $2,042

How much rates vary

Facilitymedian $955 · 10th to 90th $398 to $3,715Professionalmedian $331 · 10th to 90th $204 to $490
$50$100$200$500$1K$2K$5Kfacility $955professional $331

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$1,047.13
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$281.84
Typical High
$380.19
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$954.99
Typical High
$3,715.35
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$269.15
Typical High
$446.68
Cigna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$870.96
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$338.84
Typical High
$467.74
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$75.86
Typical High
$380.19
Providence
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$851.14
Typical High
$1,318.26
Providence
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$338.84
Typical High
$501.19
United
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$1,174.90
Typical High
$4,570.88
United
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$363.08
Typical High
$575.44

Where New Mexico sits

The same service costs 4.3 times more in Alaska than in Utah. 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 Mexico· 23rd of 51

$380

AK $1,000UT $234

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.