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Guided Gum Tissue Regeneration

Texas 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?

$245

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $263 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 7 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$245$219 to $269
FacilityA hospital or hospital-owned outpatient department$263$219 to $347

How much rates vary

Facilitymedian $263 · 10th to 90th $186 to $631Professionalmedian $245 · 10th to 90th $174 to $302
$100$200$500$1K$2Kfacility $263professional $245

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
$218.78
Median
$245.47
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,388.44
Typical High
$4,786.30
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,630.27
Typical High
$2,630.27
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$489.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$489.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$245.47
Typical High
$446.68
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$363.08

Where Texas 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.

Texas· 33rd of 51

$245

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.