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Guided Gum Tissue Regeneration

North Carolina 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?

$269

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $275 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$263$200 to $282
FacilityA hospital or hospital-owned outpatient department$275$263 to $288

How much rates vary

Facilitymedian $275 · 10th to 90th $170 to $427Professionalmedian $263 · 10th to 90th $27 to $407
$50$100$200$500$1Kfacility $275professional $263

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
$275.42
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$275.42
Typical High
$478.63
Medcost
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$257.04
Typical High
$467.74
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,630.27

Where North Carolina 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.

North Carolina· 26th of 51

$269

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.