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Guided Gum Tissue Regeneration

Wisconsin 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?

$389

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $240 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 8 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$407$263 to $646
FacilityA hospital or hospital-owned outpatient department$240$240 to $355

How much rates vary

Facilitymedian $240 · 10th to 90th $182 to $617Professionalmedian $407 · 10th to 90th $178 to $1,023
$200$500$1K$2Kfacility $240professional $407

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
$239.88
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$426.58
Typical High
$933.25
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$239.88
Typical High
$602.56
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$288.40
Typical High
$616.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$1,737.80
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$239.88
Typical High
$602.56
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Quartz
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$741.31
Typical High
$1,023.29
Quartz
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$1,737.80
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,778.28
Typical High
$1,778.28
Security Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$489.78
Typical High
$537.03

Where Wisconsin 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.

Wisconsin· 6th of 51

$389

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.