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Guided Gum Tissue Regeneration

Virginia 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?

$282

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $282 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$282$200 to $295
FacilityA hospital or hospital-owned outpatient department$282$200 to $347

How much rates vary

Facilitymedian $282 · 10th to 90th $170 to $10,000Professionalmedian $282 · 10th to 90th $186 to $363
$200$500$1K$2K$5K$10Kfacility $282professional $282

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
$199.53
Median
$199.53
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$489.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$524.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$691.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$263.03
Typical High
$416.87
Sentara
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$323.59
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$323.59
Typical High
$10,000.00

Where Virginia 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.

Virginia· 19th of 51

$282

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.