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Removal Of A Growth Or Scar Inside The Mouth

Connecticut 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?

$398

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $4,677 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$339$251 to $501
FacilityA hospital or hospital-owned outpatient department$4,677$3,802 to $6,607

How much rates vary

Facilitymedian $4,677 · 10th to 90th $3,388 to $8,511Professionalmedian $339 · 10th to 90th $195 to $661
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $4,677professional $339

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
$2,754.23
Median
$4,677.35
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$309.03
Typical High
$660.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,365.16
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$426.58
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$354.81
Typical High
$660.69
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$6,025.60
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$323.59
Typical High
$707.95

Where Connecticut 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.

Connecticut $398 · 10th 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.