Rates› D0426

Caries Risk Assessment & Documentation (Low Risk) (D0426) — National Rates

Negotiated reimbursement rates for D0426 across 15 states, sourced from CMS Transparency in Coverage data. 61 rate records.

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National Average Negotiated Rate
$37
61 rate records · 15 states
📊 Data updated monthly · Last refresh: March 2026

About D0426 — Caries Risk Assessment & Documentation (Low Risk)

CDT Code D0426 covers Caries Risk Assessment & Documentation (Low Risk). The national average negotiated rate is $37. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D0426

Missouri
$102
1 records
Nebraska
$102
1 records
Minnesota
$46
1 records

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Full National Breakdown

Median
$33
Low
$12
High
$137

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Missouri$102
Nebraska$102
Minnesota$46
Oregon$44
Washington$43

↓ Bottom 5

StateAvg Rate
Florida$33
Arkansas$32
New York$30
California$29
Indiana$20

All States — D0426 Average Rates

Missouri
$102
Nebraska
$102
Minnesota
$46
Oregon
$44
Washington
$43
New Jersey
$39
Utah
$39
New Mexico
$38
Arizona
$36
Ohio
$34
Florida
$33
Arkansas
$32
New York
$30
California
$29
Indiana
$20
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Missouri$102$102$102$1021
Nebraska$102$102$102$1021
Minnesota$46$46$46$461
Oregon$44$44$41$447
Washington$43$43$40$454
New Jersey$39$39$32$462
Utah$39$39$39$392
New Mexico$38$38$38$381
Arizona$36$36$36$366
Ohio$34$34$33$352
Florida$33$34$29$373
Arkansas$32$32$32$321
New York$30$21$12$13712
California$29$29$29$3113
Indiana$20$20$16$233
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