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Repair Of A Larger Or Complex Mouth Laceration

Montana 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 October 2026.

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

$355

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $380 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$347$302 to $468
FacilityA hospital or hospital-owned outpatient department$380$331 to $537

How much rates vary

Facilitymedian $380 · 10th to 90th $316 to $575Professionalmedian $347 · 10th to 90th $200 to $575
$100$200$500$1Kfacility $380professional $347

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$323.59
Typical High
$912.01
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$467.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$478.63
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$323.59
Typical High
$467.74
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$389.05
Typical High
$575.44
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$346.74
Typical High
$575.44
Providence
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$478.63
Typical High
$1,348.96
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$323.59
Typical High
$501.19
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$199.53
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$478.63
Typical High
$645.65

Where Montana 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.

Montana· 29th of 51

$355

WI $933TX $251

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.