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Removal Of Overgrown Gum Tissue

Kentucky 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?

$282

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $1,175 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$275$219 to $347
FacilityA hospital or hospital-owned outpatient department$1,175$347 to $5,012

How much rates vary

Facilitymedian $1,175 · 10th to 90th $269 to $10,715Professionalmedian $275 · 10th to 90th $204 to $427
$50.0$200.0$1.0K$5.0Kfacility $1,175professional $275

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
$269.15
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$426.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$389.05
CareSource
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$331.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$257.04
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$1,819.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,445.44
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$501.19

Where Kentucky 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.

Kentucky $282 · 50th 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.