Biologically-Based Root Treatment (D3431) — National Rates

Negotiated reimbursement rates for D3431 across 48 states, sourced from CMS Transparency in Coverage data. 623 rate records.

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National Average Negotiated Rate
$286
623 rate records · 48 states
📊 Data updated monthly · Last refresh: March 2026

About D3431 — Biologically-Based Root Treatment

D3431 describes biologically-based root treatment, which involves the use of materials that promote healing and regeneration of dental pulp tissue. This procedure is indicated for cases where traditional root canal therapy is not viable, and there is a need for a more biologically compatible approach. Documentation should include detailed clinical notes, radiographs, and a treatment plan outlining the rationale for using biologically-based materials. Reimbursement rates for D3431 can vary widely depending on the insurance provider and state regulations, with an average reimbursement of approximately $286. Dental billing professionals should ensure that they check the specific coverage policies of the patient's insurance plan to maximize reimbursement.

Reimbursement rates for D3431 vary significantly by state, payor, and provider network. The national average negotiated rate is $286. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D3431

New York
$547
38 records
Minnesota
$500
1 records
New Hampshire
$417
8 records

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Full National Breakdown

Median
$270
Low
$83
High
$894

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
New York$547
Minnesota$500
New Hampshire$417
Washington$388
Virginia$376

↓ Bottom 5

StateAvg Rate
Nevada$183
Delaware$181
Nebraska$175
Idaho$173
Wyoming$131

All States — D3431 Average Rates

New York
$547
Minnesota
$500
New Hampshire
$417
Washington
$388
Virginia
$376
Georgia
$357
Hawaii
$345
West Virginia
$345
Louisiana
$344
Maine
$344
Oregon
$336
Alaska
$327
Missouri
$319
Massachusetts
$318
Wisconsin
$317
Oklahoma
$317
California
$304
Kansas
$302
Arkansas
$296
Florida
$294
North Dakota
$283
Arizona
$280
Tennessee
$277
Kentucky
$275
Iowa
$268
South Carolina
$254
Michigan
$249
Maryland
$246
New Mexico
$242
Pennsylvania
$234
District of Columbia
$232
Colorado
$231
Mississippi
$230
Illinois
$226
Indiana
$224
South Dakota
$224
North Carolina
$219
Utah
$215
Connecticut
$213
New Jersey
$211
Alabama
$192
Ohio
$191
Texas
$190
Nevada
$183
Delaware
$181
Nebraska
$175
Idaho
$173
Wyoming
$131
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
New York$547$669$139$89438
Minnesota$500$500$500$5001
New Hampshire$417$483$156$4838
Washington$388$422$300$4627
Virginia$376$346$154$56615
Georgia$357$400$218$40038
Hawaii$345$352$239$4453
West Virginia$345$345$345$3451
Louisiana$344$346$336$3465
Maine$344$344$344$3447
Oregon$336$366$217$3665
Alaska$327$327$327$3271
Missouri$319$324$175$39316
Massachusetts$318$270$210$48316
Wisconsin$317$277$174$5006
Oklahoma$317$317$317$3171
California$304$332$153$42966
Kansas$302$298$175$4207
Arkansas$296$296$193$4002
Florida$294$296$153$38652
North Dakota$283$255$137$5245
Arizona$280$336$130$3369
Tennessee$277$312$200$35414
Kentucky$275$287$160$3305
Iowa$268$231$175$4756
South Carolina$254$226$156$84022
Michigan$249$255$128$30315
Maryland$246$280$155$29214
New Mexico$242$247$222$2478
Pennsylvania$234$225$161$70130
District of Columbia$232$232$155$3082
Colorado$231$213$203$33211
Mississippi$230$193$193$3033
Illinois$226$209$169$3287
Indiana$224$224$150$2706
South Dakota$224$226$212$2266
North Carolina$219$158$142$44410
Utah$215$244$130$2776
Connecticut$213$206$128$2845
New Jersey$211$161$161$81343
Alabama$192$192$191$1922
Ohio$191$177$128$30219
Texas$190$128$125$53539
Nevada$183$144$133$45715
Delaware$181$181$181$1812
Nebraska$175$175$175$1759
Idaho$173$179$143$2357
Wyoming$131$131$123$1392
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