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Removal Of Overgrown Gum Tissue

West Virginia 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?

$275

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $339 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 4 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 $339
FacilityA hospital or hospital-owned outpatient department$339$219 to $347

How much rates vary

Facilitymedian $339 · 10th to 90th $219 to $1,230Professionalmedian $275 · 10th to 90th $200 to $437
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $339professional $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
$218.78
Median
$338.84
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$426.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$288.40
CareSource
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$1,230.27
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$478.63

Where West Virginia 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.

West Virginia $275 · 51st 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.