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Removal Of A Growth Or Scar Inside The Mouth

New York 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.

Facilitymedian $3,631 · 10th–90th $257$8,3180%10%10th90th$3,631Professionalmedian $288 · 10th–90th $178$6760%20%10th90th$288$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$2,630.27
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$275.42
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$295.12
Typical High
$691.83
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$257.04
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$426.58
Typical High
$977.24
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$165.96
Typical High
$407.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$549.54
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$346.74
Typical High
$549.54
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$389.05
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,630.78
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$288.40
Typical High
$602.56
Univera
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$501.19
Univera
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$309.03
Typical High
$549.54