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Removal Of A Growth Or Scar Inside The Mouth

Georgia 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?

$331

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $3,020 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 6 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$275$200 to $355
FacilityA hospital or hospital-owned outpatient department$3,020$1,380 to $4,571

How much rates vary

Facilitymedian $3,020 · 10th to 90th $550 to $7,079Professionalmedian $275 · 10th to 90th $170 to $513
$100.0$1.0K$10.0Kfacility $3,020professional $275

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
$269.15
Median
$3,548.13
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$501.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,884.03
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$316.23
Typical High
$524.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$263.03
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$2,884.03
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$501.19

Where Georgia 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.

Georgia $331 · 19th 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.