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Gum And Bone Surgery — Smaller Area

New York 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?

$275

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $204 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 6 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$282$234 to $324
FacilityA hospital or hospital-owned outpatient department$204$186 to $224

How much rates vary

Facilitymedian $204 · 10th to 90th $141 to $263Professionalmedian $282 · 10th to 90th $204 to $479
$200$1K$5K$20Kfacility $204professional $282

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
$141.25
Median
$204.17
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$562.34
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$489.78
Univera
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$263.03
Typical High
$263.03
Univera
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$512.86
Typical High
$512.86

Where New York 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.

New York· 21st of 51

$275

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.