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Removal Of A Growth Or Scar Inside The Mouth

Montana 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?

$295

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $447 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$288$251 to $447
FacilityA hospital or hospital-owned outpatient department$447$295 to $457

How much rates vary

Facilitymedian $447 · 10th to 90th $288 to $537Professionalmedian $288 · 10th to 90th $174 to $955
$100.0$1.0K$10.0K$100.0Kfacility $447professional $288

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
Professional
Modifier
Global
Typical Low
$173.78
Median
$275.42
Typical High
$1,230.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$446.68
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$478.63
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$478.63
Providence
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$269.15
Typical High
$489.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$263.03
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$602.56

Where Montana 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.

Montana $295 · 31st 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.