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Gum And Bone Surgery — Smaller Area

Massachusetts 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?

$407

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $347 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$407$347 to $708
FacilityA hospital or hospital-owned outpatient department$347$347 to $692

How much rates vary

Facilitymedian $347 · 10th to 90th $347 to $4,898Professionalmedian $407 · 10th to 90th $224 to $871
$100$1K$10Kfacility $347professional $407

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
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$263.03
Typical High
$363.08
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$691.83
Typical High
$1,698.24
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$707.95
Typical High
$1,698.24
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$436.52
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$562.34
Typical High
$891.25
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$691.83
Typical High
$1,698.24
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$707.95
Typical High
$1,698.24

Where Massachusetts 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.

Massachusetts· 12th of 51

$407

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.