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Gum And Bone Surgery — Smaller Area

Maine 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?

$417

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $417 for this service. Most negotiated rates run $407 to $537.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $417 · 10th to 90th $355 to $676
$500$1Kprofessional $417

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
$245.47
Median
$416.87
Typical High
$416.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$380.19
Typical High
$575.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$489.78
Typical High
$891.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$416.87
Typical High
$416.87

Where Maine 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.

Maine· 10th of 51

$417

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.