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Removal Of A Growth Or Scar Inside The Mouth

Florida 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?

$263

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $5,012 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$224$170 to $295
FacilityA hospital or hospital-owned outpatient department$5,012$1,514 to $10,000

How much rates vary

Facilitymedian $5,012 · 10th to 90th $603 to $13,490Professionalmedian $224 · 10th to 90th $148 to $427
$1.0$10.0$100.0$1.0K$10.0Kfacility $5,012professional $224

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
$549.54
Median
$3,311.31
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$223.87
Typical High
$446.68
AvMed
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$4,073.80
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$204.17
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$263.03
Typical High
$478.63
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$181.97
Typical High
$239.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,548.13
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$251.19
Typical High
$457.09
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$194.98
Typical High
$257.04

Where Florida 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.

Florida $263 · 45th 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.