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Removal Of A Growth Or Scar Inside The Mouth

South Carolina 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 South Carolina, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $4,266 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$257$195 to $302
FacilityA hospital or hospital-owned outpatient department$4,266$331 to $7,244

How much rates vary

Facilitymedian $4,266 · 10th to 90th $195 to $10,471Professionalmedian $257 · 10th to 90th $162 to $468
$50.0$200.0$1.0K$5.0K$20.0Kfacility $4,266professional $257

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
$194.98
Median
$5,495.41
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$5,011.87
Typical High
$7,585.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$181.97
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$281.84
Typical High
$524.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$263.03
Typical High
$524.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$6,309.57
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$426.58

Where South Carolina 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.

South Carolina $275 · 41st 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.