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)

Adjunctive Pre-Diagnostic Test (No Biopsy) is a procedure that aids in the diagnosis of oral diseases without the need for a biopsy. This test may include various diagnostic aids that help identify conditions such as oral cancer or other lesions. Clinical indications include patients presenting with suspicious lesions or symptoms warranting further investigation. Documentation must include the rationale for the test, findings, and any follow-up recommendations. Average reimbursement for this procedure is around $51, but payor policies can differ significantly, with some requiring extensive documentation for coverage.

Reimbursement rates for D0431 vary significantly by state, payor, and provider network. The national average negotiated rate is $51. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

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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