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Gum And Bone Surgery — Smaller Area

Virginia 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?

$295

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $295 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$295$251 to $562
FacilityA hospital or hospital-owned outpatient department$295$251 to $380

How much rates vary

Facilitymedian $295 · 10th to 90th $234 to $10,000Professionalmedian $295 · 10th to 90th $229 to $646
$200$500$1K$2K$5K$10Kfacility $295professional $295

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
$251.19
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$251.19
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$933.25
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$776.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$851.14
Medcost
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$309.03
Typical High
$478.63
Sentara
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$354.81
Typical High
$10,000.00

Where Virginia 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.

Virginia· 20th of 51

$295

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.