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Removal Of A Growth Or Scar Inside The Mouth

New Jersey 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?

$275

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $5,888 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 5 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$263$178 to $339
FacilityA hospital or hospital-owned outpatient department$5,888$3,981 to $8,318

How much rates vary

Facilitymedian $5,888 · 10th to 90th $490 to $10,715Professionalmedian $263 · 10th to 90th $158 to $676
$100.0$500.0$2.0K$10.0Kfacility $5,888professional $263

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
$346.74
Median
$5,888.44
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$323.59
Typical High
$676.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$295.12
Typical High
$478.63
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$10,471.29
Typical High
$16,595.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$281.84
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,128.61
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$234.42
Typical High
$501.19

Where New Jersey 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.

New Jersey $275 · 40th 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.