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Gum And Bone Surgery — Smaller Area

Wisconsin 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 negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $269 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 8 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$417$257 to $661
FacilityA hospital or hospital-owned outpatient department$269$214 to $316

How much rates vary

Facilitymedian $269 · 10th to 90th $214 to $550Professionalmedian $417 · 10th to 90th $214 to $912
$200$500$1Kfacility $269professional $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. 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
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$245.47
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$457.09
Typical High
$912.01
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$537.03
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$549.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$1,698.24
Typical High
$1,698.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$537.03
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Quartz
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$660.69
Typical High
$933.25
Quartz
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,698.24
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,698.24
Typical High
$1,698.24
Security Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$707.95
Typical High
$758.58

Where Wisconsin 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.

Wisconsin· 11th 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.