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Removal Of A Growth Or Scar Inside The Mouth

Utah 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?

$347

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $3,162 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 7 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$339$245 to $490
FacilityA hospital or hospital-owned outpatient department$3,162$2,239 to $4,467

How much rates vary

Facilitymedian $3,162 · 10th to 90th $224 to $5,888Professionalmedian $339 · 10th to 90th $174 to $759
$50.0$200.0$1.0K$5.0Kfacility $3,162professional $339

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
$223.87
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$338.84
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$616.60
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,309.57
Typical High
$9,772.37
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$457.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Select Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$446.68
Typical High
$512.86
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$338.84
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$478.63

Where Utah 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.

Utah $347 · 16th 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.