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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 October 2026.

How much does Removal Of A Growth Or Scar Inside The Mouth cost?

$295

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $1,288 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$282$200 to $363
FacilityA hospital or hospital-owned outpatient department$1,288$537 to $5,370

How much rates vary

Facilitymedian $1,288 · 10th to 90th $245 to $8,318Professionalmedian $282 · 10th to 90th $148 to $447
$50$200$1K$5Kfacility $1,288professional $282

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$1,047.13
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$275.42
Typical High
$363.08
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$6,165.95
Typical High
$9,549.93
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$218.78
Typical High
$371.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$281.84
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$288.40
Typical High
$446.68
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$70.79
Typical High
$354.81
Providence
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$302.00
Typical High
$1,288.25
Providence
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$288.40
Typical High
$446.68
United
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$1,174.90
Typical High
$5,011.87
United
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$288.40
Typical High
$467.74

Where New Mexico sits

The same service costs 4.3 times more in Wisconsin than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Mexico· 29th of 51

$295

WI $794KY $186

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.