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Gum Graft Around The Teeth

Washington rates for HCPCS 41870

A procedure that moves a small piece of tissue, usually taken from the roof of the mouth, onto an area where the gum has pulled back from the teeth. The graft covers exposed root surface and replaces gum tissue that has been lost.

Rates data updated July 2026.

How much does Gum Graft Around The Teeth cost?

$437

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $794 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 10 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$417$309 to $603
FacilityA hospital or hospital-owned outpatient department$794$537 to $4,266

How much rates vary

Facilitymedian $794 · 10th to 90th $398 to $8,511Professionalmedian $417 · 10th to 90th $282 to $832
$100$500$2K$10Kfacility $794professional $417

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
$426.58
Median
$6,456.54
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$602.56
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,011.87
Typical High
$8,511.38
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$870.96
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$478.63
Typical High
$912.01
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$660.69
Typical High
$1,737.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$588.84
Typical High
$1,023.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$588.84
Typical High
$588.84
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$426.58
Typical High
$954.99
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$870.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,570.88
Typical High
$8,317.64
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,570.88
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$794.33
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$323.59

Where Washington sits

The same service costs 7.4 times more in California than in Minnesota. 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.

Washington· 11th of 51

$437

CA $1,622MN $219

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.