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Removal Of A Growth Or Scar Inside The Mouth

New Mexico 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?

$288

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $3,090 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$269$200 to $363
FacilityA hospital or hospital-owned outpatient department$3,090$389 to $6,761

How much rates vary

Facilitymedian $3,090 · 10th to 90th $240 to $9,550Professionalmedian $269 · 10th to 90th $170 to $955
$100.0$1.0K$10.0K$100.0Kfacility $3,090professional $269

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
$229.09
Median
$389.05
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$1,230.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,309.57
Typical High
$10,471.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$354.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$302.00
Typical High
$588.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$4,365.16
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$295.12
Typical High
$467.74

Where New Mexico 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 Mexico $288 · 37th 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.