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Removal Of A Growth Or Scar Inside The Mouth

South Dakota 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?

$331

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $437 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$324$229 to $490
FacilityA hospital or hospital-owned outpatient department$437$263 to $2,291

How much rates vary

Facilitymedian $437 · 10th to 90th $209 to $4,365Professionalmedian $324 · 10th to 90th $162 to $617
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $437professional $324

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$229.09
Typical High
$295.12
Avera
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$346.74
Typical High
$691.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$489.78
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$389.05
Typical High
$602.56
Midlands
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$537.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$389.05
Typical High
$707.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$389.05
Typical High
$645.65

Where South Dakota 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 Dakota $331 · 18th 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.