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Gum And Bone Surgery — Larger Area

Florida 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?

$363

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $3,090,295 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$363$324 to $437
FacilityA hospital or hospital-owned outpatient department$3,090,295$6,166 to $5,754,399

How much rates vary

Facilitymedian $3,090,295 · 10th to 90th $339 to $8,511,380Professionalmedian $363 · 10th to 90th $288 to $513
$100$1K$10K$100K$1M$10Mfacility $3,090,295professional $363

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
$338.84
Median
$338.84
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$512.86
AvMed
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$6,165.95
Typical High
$6,165.95
AvMed
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$18.20
Typical High
$19.50
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,659,586.91
Median
$4,570,881.90
Typical High
$9,120,108.39
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$354.81
Typical High
$794.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$1,995.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83

Where Florida sits

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.

Florida· 38th of 51

$363

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.