Surgical Procedure for Isolation of Tooth (D3910) — National Rates

Negotiated reimbursement rates for D3910 across 38 states, sourced from CMS Transparency in Coverage data. 298 rate records.

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National Average Negotiated Rate
$97
298 rate records · 38 states
📊 Data updated monthly · Last refresh: March 2026

About D3910 — Surgical Procedure for Isolation of Tooth

Surgical Procedure for Isolation of Tooth (avg $97) is performed to isolate a tooth for various dental procedures, often involving surgical access to the tooth. Clinical indications include the need for improved visibility and access during complex treatments. Proper documentation should detail the rationale for the procedure, the techniques used, and any associated costs. Reimbursement rates can differ by payor, with some plans offering limited coverage for surgical isolation, while others may include it as part of a broader treatment plan.

Reimbursement rates for D3910 vary significantly by state, payor, and provider network. The national average negotiated rate is $97. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D3910

Kentucky
$141
10 records
New Hampshire
$137
2 records
Ohio
$133
3 records

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Full National Breakdown

Median
$93
Low
$29
High
$261

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Kentucky$141
New Hampshire$137
Ohio$133
Washington$131
Connecticut$130

↓ Bottom 5

StateAvg Rate
Louisiana$58
Oklahoma$58
District of Columbia$52
West Virginia$51
Nebraska$50

All States — D3910 Average Rates

Kentucky
$141
New Hampshire
$137
Ohio
$133
Washington
$131
Connecticut
$130
Utah
$129
Hawaii
$124
North Dakota
$122
New Mexico
$121
Missouri
$116
Nevada
$116
South Carolina
$115
Florida
$112
California
$111
Maryland
$110
Indiana
$110
Georgia
$108
Colorado
$104
Mississippi
$101
Arizona
$94
Illinois
$93
New Jersey
$91
Massachusetts
$91
Oregon
$91
New York
$91
Virginia
$86
Texas
$85
Minnesota
$83
Pennsylvania
$79
Alabama
$78
Tennessee
$78
North Carolina
$66
Iowa
$63
Louisiana
$58
Oklahoma
$58
District of Columbia
$52
West Virginia
$51
Nebraska
$50
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Kentucky$141$149$66$14910
New Hampshire$137$137$137$1372
Ohio$133$145$109$1453
Washington$131$137$88$1546
Connecticut$130$130$122$1382
Utah$129$129$68$1902
Hawaii$124$124$124$1241
North Dakota$122$122$72$1722
New Mexico$121$124$113$1248
Missouri$116$116$116$1161
Nevada$116$74$65$2617
South Carolina$115$121$84$1577
Florida$112$126$67$13111
California$111$117$64$14640
Maryland$110$120$34$13514
Indiana$110$110$80$1496
Georgia$108$105$105$1143
Colorado$104$118$56$1244
Mississippi$101$101$101$1011
Arizona$94$88$73$1378
Illinois$93$104$50$1154
New Jersey$91$93$39$12334
Massachusetts$91$72$60$1436
Oregon$91$91$91$911
New York$91$93$29$17113
Virginia$86$66$55$13220
Texas$85$77$56$15013
Minnesota$83$67$47$12116
Pennsylvania$79$81$31$1047
Alabama$78$80$66$808
Tennessee$78$60$52$1213
North Carolina$66$66$66$662
Iowa$63$60$60$858
Louisiana$58$56$56$665
Oklahoma$58$58$58$581
District of Columbia$52$57$36$643
West Virginia$51$51$51$513
Nebraska$50$48$48$597
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