How much does gum surgery cost?

The typical gum surgery cost is $780 (the median negotiated price), with the middle half of practices charging $684 to $908.

Gum surgery (per quadrant). Surgery to reshape the bone and clean the roots in a quadrant where gum disease has advanced beyond what deep cleaning can fix.

Median negotiated

$780

observed midpoint

Middle half

$684 – $908

25th to 75th percentile

Practices

25,581

in the sample

Est. self-pay

$780 – $1,042

estimate, not observed

Gum surgery cost nationally

Prices cluster fairly tightly, from $684 to $908 across the middle half of the market, so shopping around saves less here than on larger treatments.

Observed dataObserved negotiated rates. Every figure here is a real negotiated amount taken from payer files published under the federal Transparency in Coverage rule. These are what a dental plan pays a contracted practice - not a cash price.

Estimated self-payEstimated self-pay range, not an observation. We do not have observed cash prices, and we will not present a modelled number as though we did. This range is the upper half of the same observed negotiated distribution, shown because an uninsured patient generally pays at or above the highest negotiated tier. Treat it as a budgeting aid and ask any practice for a written quote.

What it covers

Surgery to reshape the bone and clean the roots in a quadrant where gum disease has advanced beyond what deep cleaning can fix.

What moves the price

Severity, whether a periodontist performs it, and any grafting material used.

Normally included

The surgical procedure in one quadrant.

Usually billed separately

Sedation, grafting materials and the post-surgical maintenance programme.

How plans treat it

Usually a major service with a significant patient share.

Gum surgery cost by state

Each bar is one state's observed distribution: the block is the middle half of the market, the vertical rule is the median, and the line reaching right runs out to the 90th percentile. The dashed line is the national median, so you can see at a glance which states sit above or below it.

Gum surgery (per quadrant): observed negotiated price by state

Middle half (25th–75th)MedianNational median

The same figures as a table, lowest median first. Only states with at least 15 practices are listed.

Negotiated columns are observed. The self-pay column is an estimate derived from the upper half of the same distribution — see methodology. Column headings sort the table.
State	Negotiated range Observed	Median	Practices (n)	Est. self-pay Estimated
District of Columbia	$500 – $814	$689	135	$689 – $938
Michigan	$617 – $867	$715	673	$715 – $1,013
Alabama	$618 – $788	$717	309	$717 – $961
Louisiana	$613 – $838	$730	337	$730 – $1,012
Pennsylvania	$643 – $853	$739	1,337	$739 – $975
Indiana	$654 – $853	$741	445	$741 – $953
Arkansas	$664 – $810	$745	191	$745 – $883
Nebraska	$684 – $895	$746	182	$746 – $960
Iowa	$688 – $839	$747	190	$747 – $904
Kentucky	$637 – $879	$750	446	$750 – $1,024
Missouri	$671 – $855	$752	459	$752 – $1,001
Tennessee	$644 – $834	$754	551	$754 – $938
Ohio	$670 – $850	$755	847	$755 – $996
Illinois	$678 – $868	$758	980	$758 – $1,011
Colorado	$684 – $903	$763	584	$763 – $1,016
Texas	$684 – $862	$765	2,207	$765 – $998
Kansas	$702 – $882	$768	250	$768 – $964
Oklahoma	$668 – $845	$769	340	$769 – $957
Utah	$682 – $914	$769	323	$769 – $998
Idaho	$673 – $861	$769	147	$769 – $971
New York	$682 – $869	$771	1,713	$771 – $1,000
Maryland	$672 – $890	$772	548	$772 – $1,022
West Virginia	$676 – $841	$772	177	$772 – $1,063
Mississippi	$702 – $879	$775	210	$775 – $983
Nevada	$684 – $938	$777	297	$777 – $1,050
Virginia	$683 – $876	$778	709	$778 – $997
Georgia	$684 – $920	$780	660	$780 – $1,048
New Jersey	$678 – $894	$784	962	$784 – $1,005
New Mexico	$689 – $908	$784	161	$784 – $1,019
North Dakota	$687 – $956	$786	31	$786 – $977
Delaware	$719 – $933	$789	44	$789 – $1,027
Wisconsin	$728 – $960	$796	351	$796 – $1,098
Arizona	$691 – $939	$804	645	$804 – $1,110
Minnesota	$662 – $961	$804	311	$804 – $1,174
Florida	$670 – $931	$805	1,688	$805 – $1,078
Washington	$708 – $977	$806	632	$806 – $1,093
North Carolina	$696 – $980	$808	678	$808 – $1,145
Massachusetts	$705 – $911	$811	740	$811 – $1,055
Connecticut	$726 – $961	$816	367	$816 – $1,097
Oregon	$714 – $961	$816	263	$816 – $1,066
Vermont	$702 – $985	$826	18	$826 – $1,020
South Carolina	$709 – $951	$830	292	$830 – $1,084
Hawaii	$749 – $898	$839	57	$839 – $1,026
New Hampshire	$657 – $1,090	$853	65	$853 – $1,201
Rhode Island	$712 – $988	$858	53	$858 – $1,148
South Dakota	$787 – $987	$859	39	$859 – $1,091
California	$754 – $1,006	$878	2,701	$878 – $1,114
Montana	$812 – $1,060	$926	59	$926 – $1,162
Puerto Rico	$784 – $968	$939	28	$939 – $1,033
Wyoming	$775 – $1,037	$978	27	$978 – $1,080
Maine	$842 – $1,122	$995	50	$995 – $1,227
Alaska	$761 – $1,140	$1,026	45	$1,026 – $1,212

Related treatments

Deep cleaning, four or more teeth per quadrant Deep cleaning, one to three teeth per quadrant Ongoing gum maintenance cleaning

Gum disease treatment guide · All treatments · How this was measured

Common questions

What should I ask the practice before agreeing?

Has deep cleaning been tried first, and what happens if I decline surgery?

Is this the price I will pay without insurance?

No. The $684 to $908 range above is what dental plans have negotiated with contracted practices. If you are uninsured you will generally be quoted at or above the top of that range. We show an estimated self-pay range, clearly marked as an estimate, because we do not observe cash prices — see the methodology.

What is not included in this price?

Sedation, grafting materials and the post-surgical maintenance programme.

How do dental plans usually treat this?

Usually a major service with a significant patient share.

How many practices is this based on?

This national figure comes from 25,581 separate dental practices. Each practice contributes one observation, which is the median of every rate it holds for this treatment.