Apicoectomy — Each Additional Root (D3426) — National Rates

Negotiated reimbursement rates for D3426 across 47 states, sourced from CMS Transparency in Coverage data. 463 rate records.

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National Average Negotiated Rate
$238
463 rate records · 47 states
📊 Data updated monthly · Last refresh: March 2026

About D3426 — Apicoectomy — Each Additional Root

The code D3426 is used for an apicoectomy procedure on each additional root beyond the first root in a tooth. This procedure is indicated when multiple roots are affected by infection or other complications requiring surgical intervention. Proper documentation is crucial and should include pre-operative imaging, a comprehensive treatment plan, and post-operative care notes. The average reimbursement for this procedure is around $238, but it can vary by payor and state. Some insurance companies may have specific policies regarding the reimbursement of additional roots, which could impact the overall payment for the procedure.

Reimbursement rates for D3426 vary significantly by state, payor, and provider network. The national average negotiated rate is $238. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D3426

North Dakota
$375
4 records
New Hampshire
$357
6 records
District of Columbia
$353
3 records

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Full National Breakdown

Median
$238
Low
$83
High
$520

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
North Dakota$375
New Hampshire$357
District of Columbia$353
Florida$308
Texas$307

↓ Bottom 5

StateAvg Rate
Idaho$164
Wyoming$152
Nebraska$149
Alabama$141
Iowa$102

All States — D3426 Average Rates

North Dakota
$375
New Hampshire
$357
District of Columbia
$353
Florida
$308
Texas
$307
Puerto Rico
$303
Missouri
$281
California
$279
South Dakota
$278
New Jersey
$270
Wisconsin
$264
Maryland
$257
Connecticut
$256
North Carolina
$256
Oregon
$254
Nevada
$252
Maine
$247
Illinois
$246
Washington
$245
Kansas
$244
South Carolina
$238
Pennsylvania
$235
Louisiana
$234
New Mexico
$230
Colorado
$227
Kentucky
$226
Alaska
$223
Massachusetts
$219
Arizona
$208
Utah
$208
Arkansas
$206
Oklahoma
$200
Georgia
$200
Ohio
$198
New York
$197
Virginia
$192
Indiana
$190
Rhode Island
$180
Michigan
$180
Minnesota
$180
Tennessee
$172
West Virginia
$170
Idaho
$164
Wyoming
$152
Nebraska
$149
Alabama
$141
Iowa
$102
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
North Dakota$375$375$375$3754
New Hampshire$357$364$324$3646
District of Columbia$353$373$272$4143
Florida$308$303$180$35919
Texas$307$268$99$41029
Puerto Rico$303$303$303$3031
Missouri$281$279$99$39329
California$279$308$99$37951
South Dakota$278$278$278$2781
New Jersey$270$289$184$34217
Wisconsin$264$264$230$2982
Maryland$257$250$214$3096
Connecticut$256$275$149$3453
North Carolina$256$256$122$3208
Oregon$254$254$254$2541
Nevada$252$252$149$34312
Maine$247$247$247$2471
Illinois$246$228$99$39211
Washington$245$247$208$25419
Kansas$244$279$99$3245
South Carolina$238$225$150$37424
Pennsylvania$235$188$131$35311
Louisiana$234$234$164$3042
New Mexico$230$230$230$2301
Colorado$227$227$227$2271
Kentucky$226$198$99$3027
Alaska$223$223$223$2231
Massachusetts$219$185$99$36410
Arizona$208$214$186$2226
Utah$208$209$186$2303
Arkansas$206$206$134$2792
Oklahoma$200$200$138$2632
Georgia$200$201$142$25814
Ohio$198$218$99$3065
New York$197$184$99$52039
Virginia$192$176$169$29612
Indiana$190$190$190$1901
Rhode Island$180$180$180$1808
Michigan$180$172$149$31721
Minnesota$180$195$102$2815
Tennessee$172$142$99$2799
West Virginia$170$158$158$1933
Idaho$164$164$99$2302
Wyoming$152$152$152$1521
Nebraska$149$149$149$1491
Alabama$141$144$131$16110
Iowa$102$99$99$15516
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