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Removal Of A Growth Or Scar Inside The Mouth

Vermont 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 October 2026.

How much does Removal Of A Growth Or Scar Inside The Mouth cost?

$295

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $240 to $389.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $457 · 10th to 90th $309 to $1,259Professionalmedian $288 · 10th to 90th $191 to $537
$200$500$1Kfacility $457professional $288

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$288.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$457.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$263.03
Typical High
$389.05
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$346.74
Typical High
$630.96

Where Vermont sits

The same service costs 4.3 times more in Wisconsin 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.

Vermont· 28th of 51

$295

WI $794KY $186

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.