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Guided Gum Tissue Regeneration

New York 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?

$209

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $209 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$209$178 to $229
FacilityA hospital or hospital-owned outpatient department$209$129 to $229

How much rates vary

Facilitymedian $209 · 10th to 90th $98 to $295Professionalmedian $209 · 10th to 90th $158 to $331
$100$500$2K$10K$50Kfacility $209professional $209

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
$97.72
Median
$208.93
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$380.19
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Univera
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$295.12
Univera
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$295.12
Typical High
$295.12

Where New York 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.

New York· 45th of 51

$209

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.