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Closure of Mouth-Sinus Opening

Iowa rates for HCPCS D7260

Surgery to close an abnormal opening that has formed between the mouth and the sinus above the upper back teeth. This connection can develop after an upper tooth is removed or from a long-standing infection, and closing it prevents food, liquid, and bacteria from passing between the mouth and sinus.

Rates data updated October 2026.

How much does Closure of Mouth-Sinus Opening cost?

$741

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $741 for this service. Most negotiated rates run $550 to $955.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $832 · 10th to 90th $437 to $1,175Professionalmedian $741 · 10th to 90th $355 to $3,802
$500$1K$2Kfacility $832professional $741

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
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$323.59
Typical High
$354.81
Hally Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$1,995.26
Typical High
$3,235.94
Medica
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$831.76
Typical High
$1,174.90
Medica
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$1,148.15
Typical High
$3,801.89
Midlands
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$851.14
Typical High
$912.01
Midlands
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$1,148.15
Typical High
$1,318.26
Wellmark
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$741.31
Typical High
$741.31

Where Iowa sits

The same service costs 11.5 times more in Texas than in West Virginia. 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.

Iowa· 21st of 51

$741

TX $3,236WV $282

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.