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Closure of Mouth-Sinus Opening

North Carolina 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?

$501

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $447 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 5 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$525$417 to $891
FacilityA hospital or hospital-owned outpatient department$447$417 to $813

How much rates vary

Facilitymedian $447 · 10th to 90th $417 to $1,023Professionalmedian $525 · 10th to 90th $347 to $1,413
$500.0$1.0K$2.0Kfacility $447professional $525

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
$416.87
Median
$416.87
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$691.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$912.01
Typical High
$1,659.59
Medcost
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$758.58
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,890.45

Where North Carolina 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.

North Carolina $501 · 22nd 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.