Repair Of A Sinus Opening In The Mouth

New Hampshire rates for HCPCS D7261

Surgical closure of an unwanted opening between the mouth and the sinus above the upper back teeth, which can occur after an upper tooth is removed or from other trauma near that area. The gum tissue is repositioned and stitched to seal the opening and prevent food, liquid, or air from passing between the mouth and sinus. It's typically done at the time the opening is discovered, often right after the extraction that caused it.

Rates data updated October 2026.

How much does Repair Of A Sinus Opening In The Mouth cost?

$437

Typical physician fee. In New Hampshire, October 2026.

Insurers have agreed to pay about $437 for this service. Most negotiated rates run $339 to $661.

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

Professionalmedian $437 · 10th to 90th $339 to $1,047

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81	Professional	None	$354.81	$354.81	$354.81
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $588.84	Professional	None	$338.84	$363.08	$588.84
Harvard Pilgrim Setting Professional Modifier None Typical Low $398.11 Median $691.83 Typical High $1,202.26	Professional	None	$398.11	$691.83	$1,202.26

Where New Hampshire sits

The same service costs 12.3 times more in Texas than in New Jersey. 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 Hampshire· 17th of 51

$437

TX $1,905NJ $155

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.