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Removal Of A Growth Or Scar Inside The Mouth

Massachusetts 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?

$302

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $1,318 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$302$204 to $479
FacilityA hospital or hospital-owned outpatient department$1,318$251 to $2,692

How much rates vary

Facilitymedian $1,318 · 10th to 90th $204 to $4,169Professionalmedian $302 · 10th to 90th $178 to $708
$100.0$1.0K$10.0Kfacility $1,318professional $302

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
$288.40
Median
$2,238.72
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$263.03
Typical High
$776.25
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,344.23
Typical High
$7,943.28
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$316.23
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$758.58
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$501.19
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,630.78
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$316.23
Typical High
$660.69
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,344.23
Typical High
$7,943.28
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$316.23
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,630.78
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$354.81
Typical High
$724.44

Where Massachusetts 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.

Massachusetts $302 · 27th 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.