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Repair Of A Larger Or Complex Mouth Laceration

Delaware rates for HCPCS 40831

This procedure closes a cut inside the mouth, in the area between the lips or cheeks and the gums, when the wound is longer than about an inch or is more complicated to repair. It uses sutures to bring the edges of the wound back together.

Rates data updated July 2026.

How much does Repair Of A Larger Or Complex Mouth Laceration cost?

$295

Typical physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $234 to $355.

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

Professionalmedian $295 · 10th to 90th $200 to $692
$200$500professional $295

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
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$537.03

Where Delaware sits

The same service costs 4.2 times more in Hawaii than in Indiana. 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.

Delaware· 44th of 51

$295

HI $1,148IN $275

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.