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Removal Of A Growth Or Scar Inside The Mouth

Virginia 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?

$295

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $1,905 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$269$200 to $316
FacilityA hospital or hospital-owned outpatient department$1,905$275 to $4,365

How much rates vary

Facilitymedian $1,905 · 10th to 90th $191 to $7,079Professionalmedian $269 · 10th to 90th $170 to $513
$100$200$500$1K$2K$5K$10Kfacility $1,905professional $269

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
$295.12
Median
$2,818.38
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$269.15
Typical High
$426.58
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$245.47
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$295.12
Typical High
$794.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$630.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$478.63
Sentara
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$3,630.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$346.74
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,388.44
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$257.04
Typical High
$457.09

Where Virginia 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.

Virginia· 29th of 51

$295

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.