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Repair Of An Opening Between The Mouth And Sinus

New Jersey 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?

$676

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $7,586 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$646$501 to $832
FacilityA hospital or hospital-owned outpatient department$7,586$5,888 to $10,471

How much rates vary

Facilitymedian $7,586 · 10th to 90th $1,259 to $12,303Professionalmedian $646 · 10th to 90th $437 to $1,514
$500$1K$2K$5K$10K$20Kfacility $7,586professional $646

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
$1,096.48
Median
$7,244.36
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$776.25
Typical High
$1,548.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$794.33
Typical High
$1,174.90
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$19,054.61
Typical High
$30,199.52
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$724.44
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$8,709.64
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$575.44
Typical High
$1,174.90

Where New Jersey 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.

New Jersey· 43rd of 51

$676

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.