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Removal Of A Growth Or Scar Inside The Mouth

Washington, DC 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?

$295

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $200 to $741.

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.

How much rates vary

Facilitymedian $2,754 · 10th to 90th $200 to $7,762Professionalmedian $295 · 10th to 90th $191 to $331
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $2,754professional $295

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
$199.53
Median
$2,754.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$204.17
Typical High
$316.23
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$2,818.38
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$275.42
Typical High
$616.60
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$6,760.83
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$346.74
Typical High
$660.69

Where Washington, DC 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.

Washington, DC $295 · 28th 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.