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Repair Of An Opening Between The Mouth And Sinus

Indiana rates for HCPCS 30580

Surgical closure of an abnormal opening that connects the mouth to the air-filled space above the upper back teeth, inside the cheekbone. This opening most often develops after a tooth in the upper jaw is removed and the space where the tooth was ends up connected to the sinus above it.

Rates data updated July 2026.

How much does Repair Of An Opening Between The Mouth And Sinus cost?

$692

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $14,125 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$589$501 to $692
FacilityA hospital or hospital-owned outpatient department$14,125$8,128 to $21,878

How much rates vary

Facilitymedian $14,125 · 10th to 90th $1,862 to $25,704Professionalmedian $589 · 10th to 90th $457 to $933
$500$1K$2K$5K$10K$20Kfacility $14,125professional $589

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
$676.08
Median
$4,897.79
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$562.34
Typical High
$758.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$15,488.17
Typical High
$25,703.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$588.84
Typical High
$912.01
CareSource
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$467.74
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$724.44
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$9,549.93
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$1,000.00

Where Indiana sits

The same service costs 10.0 times more in California than in Rhode Island. 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.

Indiana· 39th of 51

$692

CA $5,623RI $562

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.