Rates› D0431

Adjunctive Pre-Diagnostic Test (No Biopsy) (D0431) — National Rates

Negotiated reimbursement rates for D0431 across 30 states, sourced from CMS Transparency in Coverage data. 112 rate records.

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National Average Negotiated Rate
$51
112 rate records · 30 states
📊 Data updated monthly · Last refresh: March 2026

About D0431 — Adjunctive Pre-Diagnostic Test (No Biopsy)

CDT Code D0431 covers Adjunctive Pre-Diagnostic Test (No Biopsy). The national average negotiated rate is $51. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D0431

North Dakota
$72
4 records
Oregon
$70
6 records
California
$64
24 records

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Full National Breakdown

Median
$52
Low
$20
High
$100

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
North Dakota$72
Oregon$70
California$64
New York$62
New Jersey$61

↓ Bottom 5

StateAvg Rate
Kentucky$32
Michigan$30
Oklahoma$29
Nebraska$28
Iowa$20

All States — D0431 Average Rates

North Dakota
$72
Oregon
$70
California
$64
New York
$62
New Jersey
$61
South Carolina
$61
Washington
$58
Wisconsin
$55
Colorado
$54
Connecticut
$54
Hawaii
$52
Louisiana
$47
Maryland
$47
Nevada
$47
Florida
$43
Missouri
$41
North Carolina
$40
Ohio
$40
Minnesota
$40
Indiana
$38
Texas
$38
Arizona
$37
Pennsylvania
$37
New Mexico
$36
Massachusetts
$34
Kentucky
$32
Michigan
$30
Oklahoma
$29
Nebraska
$28
Iowa
$20
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
North Dakota$72$72$72$724
Oregon$70$70$70$706
California$64$66$37$7724
New York$62$67$39$826
New Jersey$61$60$60$633
South Carolina$61$61$61$611
Washington$58$63$35$724
Wisconsin$55$55$55$551
Colorado$54$54$54$541
Connecticut$54$53$50$583
Hawaii$52$52$52$521
Louisiana$47$47$28$662
Maryland$47$47$33$612
Nevada$47$47$37$572
Florida$43$41$27$696
Missouri$41$41$41$411
North Carolina$40$40$40$401
Ohio$40$38$38$485
Minnesota$40$24$23$723
Indiana$38$38$38$381
Texas$38$35$23$558
Arizona$37$37$37$371
Pennsylvania$37$31$31$595
New Mexico$36$36$32$412
Massachusetts$34$27$27$495
Kentucky$32$34$23$383
Michigan$30$30$23$382
Oklahoma$29$29$29$291
Nebraska$28$28$21$352
Iowa$20$20$20$203
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