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Removal Of A Growth Or Scar Inside The Mouth

Colorado rates for HCPCS 40820

A growth or scar tissue in the area between the lips or cheeks and the gums, such as irritated tissue caused by a denture, is destroyed using a method like burning, freezing, or laser. This treats the local irritation without removing a larger piece of tissue. It's typically a quick, minor in-office procedure.

Rates data updated July 2026.

How much does Removal Of A Growth Or Scar Inside The Mouth cost?

$363

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $5,129 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$263$204 to $331
FacilityA hospital or hospital-owned outpatient department$5,129$3,236 to $7,413

How much rates vary

Facilitymedian $5,129 · 10th to 90th $302 to $8,913Professionalmedian $263 · 10th to 90th $170 to $501
$50.0$200.0$1.0K$5.0Kfacility $5,129professional $263

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
$263.03
Median
$3,981.07
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$489.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$331.13
Typical High
$501.19
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$436.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$371.54
Typical High
$691.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$316.23
Typical High
$549.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,548.13
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$316.23
Typical High
$512.86

Where Colorado sits

The same service costs 6.6 times more in California than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $363 · 13th of 51
CA $1,479KY $224

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.