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Gum And Bone Surgery — Smaller Area

Idaho 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?

$269

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $372 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$269$263 to $324
FacilityA hospital or hospital-owned outpatient department$372$275 to $550

How much rates vary

Facilitymedian $372 · 10th to 90th $257 to $851Professionalmedian $269 · 10th to 90th $263 to $550
$200$500$1K$2K$5Kfacility $372professional $269

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
Professional
Modifier
Global
Typical Low
$263.03
Median
$269.15
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$691.83
Typical High
$5,248.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$549.54
Typical High
$549.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$478.63
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Select Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$724.44
Typical High
$8,317.64

Where Idaho 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.

Idaho· 26th of 51

$269

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.