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Repair Of An Opening Between The Mouth And Sinus

New Mexico 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 October 2026.

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

$794

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $4,786 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$724$550 to $891
FacilityA hospital or hospital-owned outpatient department$4,786$2,089 to $12,882

How much rates vary

Facilitymedian $4,786 · 10th to 90th $832 to $20,893Professionalmedian $724 · 10th to 90th $447 to $1,072
$50$200$1K$5K$20Kfacility $4,786professional $724

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$1,000.00
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$741.31
Typical High
$977.24
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$4,365.16
Median
$15,488.17
Typical High
$23,988.33
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$630.96
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$3,467.37
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$724.44
Typical High
$1,071.52
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$169.82
Typical High
$851.14
Providence
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$2,754.23
Typical High
$5,128.61
Providence
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$724.44
Typical High
$1,071.52
United
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$4,786.30
Typical High
$12,882.50
United
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$794.33
Typical High
$1,202.26

Where New Mexico sits

The same service costs 5.0 times more in Alaska than in Utah. 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 Mexico· 22nd of 51

$794

AK $2,344UT $468

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.