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Removal Of A Growth Or Scar Inside The Mouth

West 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?

$240

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $245 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 4 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$229$186 to $295
FacilityA hospital or hospital-owned outpatient department$245$158 to $245

How much rates vary

Facilitymedian $245 · 10th to 90th $158 to $1,413Professionalmedian $229 · 10th to 90th $158 to $316
$50.0$200.0$1.0K$5.0Kfacility $245professional $229

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
$158.49
Median
$245.47
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$316.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$199.53
CareSource
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$257.04
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$269.15
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,511.89
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$204.17
Typical High
$398.11

Where West Virginia 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.

West Virginia $240 · 50th 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.