Gingival Flap Surgery — 4+ Teeth (Per Quad) (D4240) — National Rates

Negotiated reimbursement rates for D4240 across 49 states, sourced from CMS Transparency in Coverage data. 641 rate records.

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National Average Negotiated Rate
$480
641 rate records · 49 states
📊 Data updated monthly · Last refresh: March 2026

About D4240 — Gingival Flap Surgery — 4+ Teeth (Per Quad)

CDT Code D4240 covers Gingival Flap Surgery — 4+ Teeth (Per Quad). The national average negotiated rate is $480. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D4240

District of Columbia
$784
2 records
New Hampshire
$707
6 records
Oregon
$686
2 records

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Full National Breakdown

Median
$485
Low
$83
High
$1,400

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
District of Columbia$784
New Hampshire$707
Oregon$686
Missouri$599
Massachusetts$592

↓ Bottom 5

StateAvg Rate
Hawaii$272
Montana$265
Iowa$260
Nebraska$248
Wyoming$234

All States — D4240 Average Rates

District of Columbia
$784
New Hampshire
$707
Oregon
$686
Missouri
$599
Massachusetts
$592
Delaware
$586
Maine
$565
Nevada
$558
Utah
$558
California
$552
Michigan
$550
North Dakota
$545
Arizona
$541
Pennsylvania
$540
South Dakota
$532
Indiana
$528
New York
$521
Colorado
$515
Connecticut
$510
Virginia
$510
New Jersey
$506
Ohio
$498
West Virginia
$494
Wisconsin
$479
Georgia
$467
Washington
$466
Florida
$460
Rhode Island
$453
South Carolina
$449
Texas
$449
Illinois
$437
Maryland
$434
Kentucky
$434
Oklahoma
$429
Louisiana
$417
New Mexico
$407
Kansas
$398
Tennessee
$386
Mississippi
$386
Minnesota
$356
North Carolina
$340
Arkansas
$333
Idaho
$310
Alabama
$307
Hawaii
$272
Montana
$265
Iowa
$260
Nebraska
$248
Wyoming
$234
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
District of Columbia$784$784$739$8282
New Hampshire$707$687$576$9206
Oregon$686$686$618$7532
Missouri$599$555$224$70935
Massachusetts$592$549$260$92015
Delaware$586$586$586$5861
Maine$565$576$549$57612
Nevada$558$535$310$79215
Utah$558$486$479$7093
California$552$592$280$75190
Michigan$550$520$484$7095
North Dakota$545$260$260$1,4004
Arizona$541$592$272$59222
Pennsylvania$540$619$285$70918
South Dakota$532$532$532$5321
Indiana$528$556$405$5568
New York$521$465$235$1,30017
Colorado$515$610$265$70915
Connecticut$510$505$474$5525
Virginia$510$563$263$62915
New Jersey$506$560$235$66120
Ohio$498$494$329$6656
West Virginia$494$469$469$5714
Wisconsin$479$510$332$5958
Georgia$467$474$393$62423
Washington$466$497$272$5806
Florida$460$474$278$75126
Rhode Island$453$453$453$4533
South Carolina$449$481$204$63026
Texas$449$413$280$65026
Illinois$437$421$185$62415
Maryland$434$430$274$60015
Kentucky$434$485$305$55620
Oklahoma$429$421$280$5955
Louisiana$417$410$320$53215
New Mexico$407$412$385$4425
Kansas$398$287$224$7097
Tennessee$386$406$263$5458
Mississippi$386$386$386$3862
Minnesota$356$312$312$67130
North Carolina$340$284$263$57636
Arkansas$333$280$280$4665
Idaho$310$272$272$4264
Alabama$307$285$285$3516
Hawaii$272$272$272$2721
Montana$265$265$265$2653
Iowa$260$185$185$4844
Nebraska$248$246$200$3336
Wyoming$234$234$234$2341
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