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Bone Graft For Gum Disease — First Site

South Carolina rates for HCPCS D4263

Placement of bone graft material into an area where gum disease has caused bone loss around a tooth, done to help rebuild lost bone and support for the tooth. This describes the graft placed at the first site treated within one section of the mouth during the same procedure, with any additional sites in that area handled as their own step. It's typically done alongside gum surgery rather than as a stand-alone visit.

Rates data updated October 2026.

How much does Bone Graft For Gum Disease — First Site cost?

$562

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $871 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$186$166 to $186
FacilityA hospital or hospital-owned outpatient department$871$617 to $2,042

How much rates vary

Facilitymedian $871 · 10th to 90th $468 to $3,802Professionalmedian $186 · 10th to 90th $135 to $229
$100$200$500$1K$2K$5Kfacility $871professional $186

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$186.21
Typical High
$186.21
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$870.96
Typical High
$3,890.45
Medcost
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$204.17
Typical High
$1,995.26
Medcost
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$151.36
Typical High
$269.15
Medcost
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$67.61
Median
$75.86
Typical High
$177.83
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$54.95

Where South Carolina sits

The same service costs 10.2 times more in Texas 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 Carolina· 3rd of 51

$562

TX $1,288VT $126

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.