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Guided Gum Tissue Regeneration

South Dakota 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?

$295

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $204 to $302.

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.

How much rates vary

Facilitymedian $417 · 10th to 90th $214 to $724Professionalmedian $295 · 10th to 90th $186 to $302
$200$500$1Kfacility $417professional $295

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
$186.21
Median
$295.12
Typical High
$302.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$489.78
Typical High
$724.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$281.84
Typical High
$1,737.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$457.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44

Where South Dakota 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.

South Dakota· 12th of 51

$295

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.