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Removal Of A Growth Or Scar Inside The Mouth

Kentucky 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?

$224

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $1,778 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$214$158 to $269
FacilityA hospital or hospital-owned outpatient department$1,778$302 to $8,511

How much rates vary

Facilitymedian $1,778 · 10th to 90th $200 to $10,715Professionalmedian $214 · 10th to 90th $145 to $389
$100$200$500$1K$2K$5K$10Kfacility $1,778professional $214

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
$199.53
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$239.88
Typical High
$501.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$275.42
CareSource
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$199.53
Typical High
$234.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$204.17
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$257.04
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$316.23
Typical High
$1,202.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,137.96
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$436.52

Where Kentucky sits

The same service costs 6.6 times more in California than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Kentucky· 51st of 51

$224

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.