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Gum And Bone Surgery — Smaller Area

Texas 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?

$251

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $263 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$240$219 to $263
FacilityA hospital or hospital-owned outpatient department$263$240 to $372

How much rates vary

Facilitymedian $263 · 10th to 90th $219 to $562Professionalmedian $240 · 10th to 90th $204 to $324
$200$500$1K$2Kfacility $263professional $240

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
$213.80
Median
$239.88
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$263.03
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,398.83
Typical High
$2,398.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$309.03
Typical High
$512.86
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$309.03
Typical High
$512.86
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$269.15
Typical High
$436.52
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$524.81

Where Texas 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.

Texas· 34th of 51

$251

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.