Free Soft Tissue Graft (Each Additional Tooth) (D4278) — National Rates

Negotiated reimbursement rates for D4278 across 47 states, sourced from CMS Transparency in Coverage data. 629 rate records.

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National Average Negotiated Rate
$324
629 rate records · 47 states
📊 Data updated monthly · Last refresh: March 2026

About D4278 — Free Soft Tissue Graft (Each Additional Tooth)

CDT Code D4278 covers Free Soft Tissue Graft (Each Additional Tooth). The national average negotiated rate is $324. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D4278

Maine
$532
8 records
New Hampshire
$468
6 records
North Dakota
$456
3 records

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Full National Breakdown

Median
$316
Low
$83
High
$1,200

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Maine$532
New Hampshire$468
North Dakota$456
Puerto Rico$439
California$423

↓ Bottom 5

StateAvg Rate
Connecticut$218
Oklahoma$217
Montana$211
Louisiana$175
Iowa$142

All States — D4278 Average Rates

Maine
$532
New Hampshire
$468
North Dakota
$456
Puerto Rico
$439
California
$423
Virginia
$420
Massachusetts
$412
Oregon
$410
New York
$386
New Jersey
$380
Colorado
$354
District of Columbia
$353
Delaware
$351
Washington
$341
South Dakota
$341
Florida
$341
Pennsylvania
$341
Kansas
$338
Missouri
$331
Georgia
$329
Arizona
$329
Wisconsin
$329
New Mexico
$317
Michigan
$315
South Carolina
$313
Nevada
$304
Hawaii
$300
Alaska
$298
Illinois
$298
Kentucky
$297
Texas
$294
Ohio
$281
Rhode Island
$272
Indiana
$269
Maryland
$269
North Carolina
$269
Tennessee
$263
Utah
$262
Nebraska
$236
Minnesota
$234
Alabama
$224
Mississippi
$220
Connecticut
$218
Oklahoma
$217
Montana
$211
Louisiana
$175
Iowa
$142
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Maine$532$522$522$6008
New Hampshire$468$472$237$6306
North Dakota$456$207$186$9753
Puerto Rico$439$439$439$4391
California$423$384$220$68787
Virginia$420$460$222$47320
Massachusetts$412$418$256$5554
Oregon$410$429$352$4298
New York$386$338$186$1,20020
New Jersey$380$446$232$49317
Colorado$354$331$291$45231
District of Columbia$353$336$218$4736
Delaware$351$351$235$4672
Washington$341$325$224$42913
South Dakota$341$341$341$3413
Florida$341$358$164$48213
Pennsylvania$341$293$253$4507
Kansas$338$216$168$6303
Missouri$331$362$113$47313
Georgia$329$301$220$52211
Arizona$329$346$224$40518
Wisconsin$329$340$220$39211
New Mexico$317$334$220$3616
Michigan$315$316$228$40322
South Carolina$313$296$195$52227
Nevada$304$263$239$50213
Hawaii$300$300$180$4298
Alaska$298$298$207$3892
Illinois$298$269$164$46914
Kentucky$297$285$241$47319
Texas$294$331$160$49713
Ohio$281$277$113$3829
Rhode Island$272$272$256$2892
Indiana$269$228$220$43610
Maryland$269$218$218$47312
North Carolina$269$222$143$52237
Tennessee$263$293$176$47321
Utah$262$268$214$2974
Nebraska$236$236$205$2662
Minnesota$234$224$170$39024
Alabama$224$220$220$27134
Mississippi$220$220$220$2201
Connecticut$218$218$218$2181
Oklahoma$217$217$217$2172
Montana$211$211$211$2113
Louisiana$175$164$160$27315
Iowa$142$113$113$2249
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