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Closure of Mouth-Sinus Opening

New Mexico 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?

$339

Typical facility fee. In New Mexico, July 2026.

Insurers have agreed to pay about $339 for this service. Most negotiated rates run $331 to $372.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $871 · 10th to 90th $339 to $1,380Professionalmedian $339 · 10th to 90th $331 to $372
$100$200$500$1Kfacility $871professional $339

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
$338.84
Median
$338.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$181.97
Typical High
$263.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$870.96
Typical High
$1,380.38

Where New Mexico sits

The same service costs 11.5 times more in Minnesota than in Nebraska. 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.

New Mexico· 47th of 51

$339

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.