go back

Removal Of A Growth Or Scar Inside The Mouth

Michigan 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?

$251

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $2,630 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$240$191 to $295
FacilityA hospital or hospital-owned outpatient department$2,630$2,042 to $4,898

How much rates vary

Facilitymedian $2,630 · 10th to 90th $316 to $5,495Professionalmedian $240 · 10th to 90th $158 to $316
$50.0$200.0$1.0K$5.0Kfacility $2,630professional $240

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
$316.23
Median
$2,041.74
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$239.88
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$223.87
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$389.05
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$2,041.74
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$281.84
Typical High
$416.87
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,548.13
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$398.11

Where Michigan 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.

Michigan $251 · 48th 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.