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Gum And Bone Surgery — Larger Area

Pennsylvania 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?

$479

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $3,715 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$479$355 to $490
FacilityA hospital or hospital-owned outpatient department$3,715$3,020 to $4,786

How much rates vary

Facilitymedian $3,715 · 10th to 90th $2,818 to $6,607Professionalmedian $479 · 10th to 90th $316 to $490
$500$1K$2K$5K$10K$20K$50Kfacility $3,715professional $479

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
$316.23
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$338.84
Typical High
$354.81
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$489.78
Geisinger
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$3,630.78
Typical High
$6,456.54
Geisinger
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$338.84
Typical High
$354.81
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$954.99
Typical High
$954.99

Where Pennsylvania 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.

Pennsylvania· 37th of 51

$479

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.