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Stitching A Small Tear Inside The Mouth

Vermont rates for HCPCS 40830

Closing a cut or tear in the lining of the mouth where the cheek or lip folds over to meet the gum. This version covers shorter wounds, up to about an inch, which are stitched to stop bleeding and help them heal cleanly.

Rates data updated October 2026.

How much does Stitching A Small Tear Inside The Mouth cost?

$275

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $501 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$269$224 to $380
FacilityA hospital or hospital-owned outpatient department$501$288 to $501

How much rates vary

Facilitymedian $501 · 10th to 90th $50 to $550Professionalmedian $269 · 10th to 90th $174 to $468
$100$200$500$1Kfacility $501professional $269

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
$173.78
Median
$173.78
Typical High
$269.15
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$239.88
Typical High
$380.19
United
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$302.00
Typical High
$588.84

Where Vermont sits

The same service costs 3.7 times more in Wisconsin than in Texas. 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· 22nd of 51

$275

WI $708TX $191

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.