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Closure of Mouth-Sinus Opening

Washington 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?

$977

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $708 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,230$589 to $3,236
FacilityA hospital or hospital-owned outpatient department$708$589 to $708

How much rates vary

Facilitymedian $708 · 10th to 90th $275 to $741Professionalmedian $1,230 · 10th to 90th $79 to $3,890
$50$100$200$500$1K$2Kfacility $708professional $1,230

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$588.84
Typical High
$602.56
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$2,691.53
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,890.45
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$891.25
Typical High
$1,380.38
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$50.12
Typical High
$50.12
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$707.95
Typical High
$741.31
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95

Where Washington 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.

Washington· 10th of 51

$977

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.