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Removal Of A Growth Or Scar Inside The Mouth

Illinois 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?

$309

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $1,380 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$269$200 to $347
FacilityA hospital or hospital-owned outpatient department$1,380$537 to $3,236

How much rates vary

Facilitymedian $1,380 · 10th to 90th $257 to $5,623Professionalmedian $269 · 10th to 90th $162 to $468
$50.0$200.0$1.0K$5.0K$20.0Kfacility $1,380professional $269

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
$257.04
Median
$1,258.93
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$257.04
Typical High
$489.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$4,265.80
Typical High
$5,623.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$269.15
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$269.15
Typical High
$446.68
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$346.74
Typical High
$794.33
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$331.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,818.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$501.19

Where Illinois 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.

Illinois $309 · 25th 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.