Gingivectomy/Gingivoplasty — 1–3 Teeth (Per Quad) (D4211) — National Rates

Negotiated reimbursement rates for D4211 across 48 states, sourced from CMS Transparency in Coverage data. 558 rate records.

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National Average Negotiated Rate
$160
558 rate records · 48 states
📊 Data updated monthly · Last refresh: March 2026

About D4211 — Gingivectomy/Gingivoplasty — 1–3 Teeth (Per Quad)

CDT Code D4211 covers Gingivectomy/Gingivoplasty — 1–3 Teeth (Per Quad). The national average negotiated rate is $160. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D4211

Maine
$318
10 records
New Hampshire
$306
1 records
Alaska
$232
1 records

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Full National Breakdown

Median
$152
Low
$42
High
$695

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Maine$318
New Hampshire$306
Alaska$232
Delaware$213
New Mexico$212

↓ Bottom 5

StateAvg Rate
Nebraska$73
Alabama$70
Tennessee$66
Idaho$60
Vermont$60

All States — D4211 Average Rates

Maine
$318
New Hampshire
$306
Alaska
$232
Delaware
$213
New Mexico
$212
Utah
$208
Wisconsin
$206
California
$205
District of Columbia
$205
Michigan
$200
Ohio
$199
Nevada
$199
New Jersey
$197
Connecticut
$195
Colorado
$194
Indiana
$188
North Carolina
$186
South Carolina
$168
Maryland
$166
Oregon
$163
Pennsylvania
$163
Georgia
$158
Washington
$155
Illinois
$150
Texas
$143
Florida
$138
Rhode Island
$130
Missouri
$128
North Dakota
$125
New York
$125
Virginia
$124
Montana
$124
Arkansas
$120
Massachusetts
$118
Kentucky
$117
Hawaii
$116
Iowa
$110
Louisiana
$108
Mississippi
$106
Minnesota
$106
Arizona
$102
Oklahoma
$77
Kansas
$73
Nebraska
$73
Alabama
$70
Tennessee
$66
Idaho
$60
Vermont
$60
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Maine$318$306$291$38210
New Hampshire$306$306$306$3061
Alaska$232$232$232$2321
Delaware$213$213$213$2131
New Mexico$212$211$211$2175
Utah$208$208$94$3212
Wisconsin$206$207$203$2073
California$205$217$60$348113
District of Columbia$205$184$145$3054
Michigan$200$222$128$2294
Ohio$199$190$95$2788
Nevada$199$183$84$3237
New Jersey$197$219$95$27323
Connecticut$195$208$95$25011
Colorado$194$226$42$24240
Indiana$188$200$60$3033
North Carolina$186$175$134$3068
South Carolina$168$180$55$30622
Maryland$166$145$129$27121
Oregon$163$152$131$2174
Pennsylvania$163$157$146$1914
Georgia$158$170$115$30622
Washington$155$96$60$3093
Illinois$150$151$60$2298
Texas$143$106$100$24320
Florida$138$133$95$21720
Rhode Island$130$130$130$1302
Missouri$128$119$106$19110
North Dakota$125$121$109$1678
New York$125$95$60$69525
Virginia$124$132$58$14212
Montana$124$124$124$1243
Arkansas$120$120$120$1201
Massachusetts$118$121$92$1535
Kentucky$117$105$60$1994
Hawaii$116$84$84$2114
Iowa$110$58$42$2293
Louisiana$108$88$88$1408
Mississippi$106$88$60$1713
Minnesota$106$112$62$1446
Arizona$102$60$60$1863
Oklahoma$77$77$77$771
Kansas$73$73$64$822
Nebraska$73$58$53$1215
Alabama$70$72$65$736
Tennessee$66$60$60$27854
Idaho$60$60$60$601
Vermont$60$60$60$601
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