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Closure of Mouth-Sinus Opening

Kentucky 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 July 2026.

How much does Closure of Mouth-Sinus Opening cost?

$661

Typical physician fee. In Kentucky, July 2026.

Insurers have agreed to pay about $661 for this service. Most negotiated rates run $347 to $1,175.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $347 · 10th to 90th $347 to $347Professionalmedian $851 · 10th to 90th $339 to $1,349
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $347professional $851

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
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$346.74
Typical High
$446.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$1,174.90
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67

Where Kentucky sits

The same service costs 11.5 times more in Minnesota than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $661 · 13th of 51
MN $3,090NE $269

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.