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Gum And Bone Surgery — Smaller Area

Florida 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?

$234

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $182 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$234$229 to $257
FacilityA hospital or hospital-owned outpatient department$182$182 to $3,467

How much rates vary

Facilitymedian $182 · 10th to 90th $182 to $3,467Professionalmedian $234 · 10th to 90th $182 to $275
$20$50$100$200$500$1K$2Kfacility $182professional $234

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
$181.97
Median
$181.97
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$269.15
AvMed
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
AvMed
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$18.20
Typical High
$19.50
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$4,265.80
Typical High
$4,365.16
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$213.80
Typical High
$457.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$1,995.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19

Where Florida 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.

Florida· 46th of 51

$234

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.