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Removal Of A Larger Benign Mouth Growth

Pennsylvania rates for HCPCS D7411

Surgical removal of a non-cancerous growth or lesion from soft tissue in the mouth, used for a larger growth rather than a small one. The tissue removed is generally sent to a lab to confirm it is benign. This applies to soft tissue growths on the gums, cheeks, or other oral tissue rather than to teeth themselves.

Rates data updated July 2026.

How much does Removal Of A Larger Benign Mouth Growth cost?

$447

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $5,370 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 5 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$282$251 to $479
FacilityA hospital or hospital-owned outpatient department$5,370$1,585 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $537 to $8,511Professionalmedian $282 · 10th to 90th $229 to $550
$200$500$1K$2K$5K$10Kfacility $5,370professional $282

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
$537.03
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$501.19
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$630.96
Typical High
$630.96
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$1,412.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$208.93

Where Pennsylvania sits

The same service costs 9.5 times more in Minnesota than in Indiana. 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.

Pennsylvania· 25th of 51

$447

MN $1,950IN $204

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.