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Removal Of A Growth Or Scar Inside The Mouth

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $2,239 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 8 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$245$170 to $316
FacilityA hospital or hospital-owned outpatient department$2,239$832 to $4,467

How much rates vary

Facilitymedian $2,239 · 10th to 90th $316 to $10,233Professionalmedian $245 · 10th to 90th $148 to $603
$50$200$1K$5Kfacility $2,239professional $245

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
$269.15
Median
$2,041.74
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$3,235.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$363.08
CareSource
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$165.96
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$257.04
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$281.84
Typical High
$457.09
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$288.40
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$81.28
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,570.40
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$245.47
Typical High
$426.58

Where Ohio sits

The same service costs 6.6 times more in California 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.

Ohio· 39th of 51

$275

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.