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Gum And Bone Surgery — Smaller Area

Washington, DC rates for HCPCS D4261

Surgery to treat gum disease by lifting the gum tissue to access and reshape the bone underneath, performed on a smaller area covering a few neighboring teeth (or spaces where teeth used to be) in one section of the mouth. The bone is reshaped to reduce disease-related pockets and irregular contours, then the gum is stitched back into place. It's a smaller version of the same surgery done over a wider area when more teeth are involved at once.

Rates data updated July 2026.

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

$251

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $251 for this service. Most negotiated rates run $251 to $251.

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 $251 · 10th to 90th $251 to $251Professionalmedian $251 · 10th to 90th $234 to $295
$200$500facility $251professional $251

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. 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
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$251.19
Typical High
$295.12
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$501.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$309.03
Typical High
$630.96

Where Washington, DC sits

The same service costs 8.9 times more in Minnesota than in Vermont. 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, DC· 37th of 51

$251

MN $1,698VT $191

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.