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Deepening The Gum Groove At The Back Of The Mouth

Michigan rates for HCPCS 40843

Deepens the groove between the jaw ridge and the inside of the cheek at the back of the mouth on both sides, by repositioning the soft tissue and the muscle attachments pulling on it. A deeper groove leaves more ridge for a denture to sit against, so it stays in place better.

Rates data updated July 2026.

How much does Deepening The Gum Groove At The Back Of The Mouth cost?

$1,175

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $4,677 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 6 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$1,122$891 to $1,349
FacilityA hospital or hospital-owned outpatient department$4,677$4,074 to $4,898

How much rates vary

Facilitymedian $4,677 · 10th to 90th $1,514 to $6,918Professionalmedian $1,122 · 10th to 90th $759 to $1,514
$200$500$1K$2K$5K$10Kfacility $4,677professional $1,122

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
$1,122.02
Median
$4,073.80
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$1,513.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$758.58
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,202.26
Typical High
$1,621.81
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$4,073.80
Typical High
$5,754.40
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,258.93
Typical High
$1,737.80
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$6,025.60
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,288.25
Typical High
$1,819.70

Where Michigan sits

The same service costs 3.5 times more in California than in Delaware. 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.

Michigan· 47th of 51

$1,175

CA $3,981DE $1,122

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.