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Gum And Bone Surgery — Larger Area

North Dakota 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 October 2026.

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

$1,023

Typical physician fee. In North Dakota, October 2026.

Insurers have agreed to pay about $1,023 for this service. Most negotiated rates run $794 to $1,202.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $457 · 10th to 90th $457 to $776Professionalmedian $1,023 · 10th to 90th $457 to $1,230
$500$1K$2Kfacility $457professional $1,023

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$457.09
Typical High
$537.03
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,202.26
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,071.52
Median
$1,230.27
Typical High
$1,445.44
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$676.08
Median
$758.58
Typical High
$912.01
Medica
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$794.33
Medica
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71

Where North Dakota sits

The same service costs 9.5 times more in Texas than in West Virginia. 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.

North Dakota· 8th of 51

$1,023

TX $2,455WV $257

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.