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Guided Gum Tissue Regeneration

Florida rates for HCPCS D4266

A gum surgery technique that places a thin, dissolvable membrane over an area of bone loss to keep gum tissue from growing into the space too quickly, giving bone and the fibers that anchor the tooth a chance to regrow first. The membrane breaks down on its own over time, so it does not need a separate removal visit.

Rates data updated July 2026.

How much does Guided Gum Tissue Regeneration cost?

$204

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $126 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 5 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$204$162 to $245
FacilityA hospital or hospital-owned outpatient department$126$126 to $1,622

How much rates vary

Facilitymedian $126 · 10th to 90th $126 to $1,622Professionalmedian $204 · 10th to 90th $129 to $295
$100$200$500$1K$2Kfacility $126professional $204

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
$125.89
Median
$125.89
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$204.17
Typical High
$295.12
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,995.26
Typical High
$2,041.74
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$239.88
Typical High
$309.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$50.12
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04

Where Florida sits

The same service costs 5.9 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.

Florida· 47th of 51

$204

MN $759VT $129

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.