Gum And Bone Surgery — Larger Area

Nationwide rates for HCPCS D4260

Surgery to treat advanced gum disease by lifting back the gum tissue to access and reshape the underlying bone, performed across a wider stretch of neighboring teeth (or the spaces where teeth used to be) in one section of the mouth. The bone is reshaped to reduce pockets and irregular contours caused by gum disease before the gum is stitched back into place. It covers a larger area in one section of the mouth than the smaller version of this surgery.

Rates data updated July 2026.

How much does Gum And Bone Surgery — Larger Area cost?

$437

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $562 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 51 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$427	$339 to $676
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$562	$380 to $851

How much rates vary

Facilitymedian $562 · 10th to 90th $316 to $9,772Professionalmedian $427 · 10th to 90th $309 to $1,230

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $288.40 Median $338.84 Typical High $537.03	Facility	Global	$288.40	$338.84	$537.03
Aetna Setting Professional Modifier Global Typical Low $288.40 Median $354.81 Typical High $537.03	Professional	Global	$288.40	$354.81	$537.03
BCBS Setting Facility Modifier Global Typical Low $676.08 Median $18,197.01 Typical High $23,988.33	Facility	Global	$676.08	$18,197.01	$23,988.33
BCBS Setting Professional Modifier Global Typical Low $446.68 Median $676.08 Typical High $1,148.15	Professional	Global	$446.68	$676.08	$1,148.15
Cigna Setting Professional Modifier Global Typical Low $426.58 Median $537.03 Typical High $537.03	Professional	Global	$426.58	$537.03	$537.03
United Setting Professional Modifier Global Typical Low $275.42 Median $630.96 Typical High $851.14	Professional	Global	$275.42	$630.96	$851.14

What it costs in each state

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

Touch or drag across the chart to see any state's rate.

MN $2,138HI $288

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.