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Gum And Bone Surgery — Smaller Area

South Dakota 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 physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $269 for this service. Most negotiated rates run $263 to $269.

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

Facilitymedian $407 · 10th to 90th $263 to $724Professionalmedian $269 · 10th to 90th $263 to $490
$500$1Kfacility $407professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$269.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$436.52
Typical High
$724.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$398.11
Typical High
$1,698.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$489.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95

Where South Dakota 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.

South Dakota· 22nd 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.