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Removal Of A Growth Or Scar Inside The Mouth

Iowa 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?

$437

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $2,512 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$398$257 to $490
FacilityA hospital or hospital-owned outpatient department$2,512$646 to $5,370

How much rates vary

Facilitymedian $2,512 · 10th to 90th $407 to $7,943Professionalmedian $398 · 10th to 90th $195 to $1,148
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,512professional $398

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
$436.52
Median
$2,398.83
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$389.05
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$758.58
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$398.11
Typical High
$588.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$630.96
Typical High
$7,943.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$478.63
Typical High
$1,230.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$707.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$5,495.41
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$331.13
Typical High
$660.69
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$380.19
Typical High
$616.60

Where Iowa 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.

Iowa $437 · 8th 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.