go back

Pedicle Gum Tissue Graft

Alabama rates for HCPCS D4270

A gum surgery that moves healthy tissue from next to a receded area over to cover an exposed tooth root, keeping the tissue attached at one edge so it keeps its own blood supply. It is used to treat gum recession, protect the root from sensitivity and further wear, and improve the appearance of the gumline.

Rates data updated October 2026.

How much rates vary

Facilitymedian $1,660 · 10th to 90th $1,622 to $1,660Professionalmedian $479 · 10th to 90th $295 to $479
$500$1Kfacility $1,660professional $479

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
BCBS Alabama
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$1,659.59
Typical High
$1,659.59
BCBS Alabama
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$478.63