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Removal Of Overgrown Gum Tissue

New York 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?

$447

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $3,631 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 9 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$417$288 to $537
FacilityA hospital or hospital-owned outpatient department$3,631$1,622 to $5,754

How much rates vary

Facilitymedian $3,631 · 10th to 90th $339 to $8,318Professionalmedian $417 · 10th to 90th $224 to $851
$100.0$1.0K$10.0Kfacility $3,631professional $417

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
$281.84
Median
$2,630.27
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$588.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$467.74
Typical High
$660.69
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$436.52
Typical High
$1,023.29
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$776.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$575.44
Typical High
$812.83
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$436.52
Typical High
$741.31
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$457.09
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,467.37
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$537.03
Typical High
$1,548.82
Univera
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$263.03
Typical High
$1,000.00
Univera
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$416.87
Typical High
$741.31

Where New York 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.

New York $447 · 5th 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.