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Removal Of Overgrown Gum Tissue

Illinois rates for HCPCS 41828

This removes excess, overgrown gum tissue that has built up over the jawbone, often as a result of long-term denture wear, certain medications, or chronic irritation. The overgrown soft tissue is trimmed back to restore a more normal gum contour and to allow for a better-fitting denture or improved oral hygiene. It's a soft-tissue procedure and doesn't involve removing any bone.

Rates data updated July 2026.

How much does Removal Of Overgrown Gum Tissue cost?

$355

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $1,318 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$339$240 to $437
FacilityA hospital or hospital-owned outpatient department$1,318$575 to $2,884

How much rates vary

Facilitymedian $1,318 · 10th to 90th $363 to $5,370Professionalmedian $339 · 10th to 90th $214 to $617
$50.0$200.0$1.0K$5.0Kfacility $1,318professional $339

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
$363.08
Median
$1,258.93
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,238.72
Typical High
$3,801.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$288.40
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$398.11
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$645.65
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$501.19
Typical High
$741.31
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$281.84
Typical High
$478.63
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,089.30
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$354.81
Typical High
$616.60

Where Illinois sits

The same service costs 2.3 times more in Minnesota than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $355 · 26th of 51
MN $646WV $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.