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Removal Of A Growth Or Scar Inside The Mouth

Idaho 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 Idaho, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $1,349 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 8 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$316$269 to $468
FacilityA hospital or hospital-owned outpatient department$1,349$355 to $6,166

How much rates vary

Facilitymedian $1,349 · 10th to 90th $219 to $7,586Professionalmedian $316 · 10th to 90th $191 to $501
$50.0$200.0$1.0K$5.0Kfacility $1,349professional $316

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
$1,412.54
Median
$4,466.84
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$3,090.30
Typical High
$8,317.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$302.00
Typical High
$457.09
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$338.84
Typical High
$676.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$309.03
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$7,244.36
Typical High
$10,471.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$354.81
Typical High
$537.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$3,548.13
Typical High
$5,754.40
Select Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$6,165.95
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$281.84
Typical High
$478.63

Where Idaho 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.

Idaho $331 · 20th 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.