Immediate Upper Denture (D5130) — National Rates

Negotiated reimbursement rates for D5130 across 46 states, sourced from CMS Transparency in Coverage data. 825 rate records.

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National Average Negotiated Rate
$1,053
825 rate records · 46 states
📊 Data updated monthly · Last refresh: March 2026

About D5130 — Immediate Upper Denture

CDT Code D5130 covers Immediate Upper Denture. The national average negotiated rate is $1,053. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D5130

Connecticut
$1,425
4 records
Alaska
$1,412
2 records
New Hampshire
$1,386
2 records

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Full National Breakdown

Median
$999
Low
$83
High
$2,501

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Connecticut$1,425
Alaska$1,412
New Hampshire$1,386
California$1,316
Maine$1,308

↓ Bottom 5

StateAvg Rate
Alabama$719
Louisiana$713
Iowa$678
Tennessee$664
Nebraska$604

All States — D5130 Average Rates

Connecticut
$1,425
Alaska
$1,412
New Hampshire
$1,386
California
$1,316
Maine
$1,308
Nevada
$1,267
Oregon
$1,261
Washington
$1,236
Wisconsin
$1,221
Colorado
$1,194
Maryland
$1,172
Virginia
$1,139
District of Columbia
$1,130
Hawaii
$1,118
Utah
$1,104
Delaware
$1,103
New York
$1,098
Texas
$1,074
New Jersey
$1,066
Arizona
$1,062
Missouri
$1,045
South Carolina
$1,041
Pennsylvania
$1,039
Georgia
$1,038
New Mexico
$1,029
Illinois
$1,028
Michigan
$1,018
Florida
$974
Indiana
$962
West Virginia
$961
Minnesota
$918
Massachusetts
$909
Kansas
$909
Kentucky
$886
North Carolina
$879
Idaho
$868
Mississippi
$865
Oklahoma
$857
Ohio
$849
Puerto Rico
$823
North Dakota
$754
Alabama
$719
Louisiana
$713
Iowa
$678
Tennessee
$664
Nebraska
$604
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Connecticut$1,425$1,414$1,280$1,5914
Alaska$1,412$1,412$1,295$1,5282
New Hampshire$1,386$1,386$1,171$1,6002
California$1,316$1,330$493$1,93187
Maine$1,308$1,171$1,171$1,68010
Nevada$1,267$1,122$719$1,97037
Oregon$1,261$1,280$1,052$1,4879
Washington$1,236$1,280$819$1,28051
Wisconsin$1,221$1,206$1,175$1,2984
Colorado$1,194$1,305$725$1,57119
Maryland$1,172$1,224$748$1,45020
Virginia$1,139$1,057$760$1,45021
District of Columbia$1,130$1,079$934$1,4386
Hawaii$1,118$1,118$957$1,2802
Utah$1,104$1,170$908$1,1878
Delaware$1,103$986$952$1,4375
New York$1,098$1,033$493$2,50129
Texas$1,074$999$595$1,48734
New Jersey$1,066$1,004$646$1,53916
Arizona$1,062$1,028$682$1,48716
Missouri$1,045$954$697$1,40740
South Carolina$1,041$1,017$505$1,89026
Pennsylvania$1,039$1,063$642$1,40710
Georgia$1,038$1,016$638$1,34819
New Mexico$1,029$999$999$1,35719
Illinois$1,028$1,085$638$1,46517
Michigan$1,018$1,112$819$1,1223
Florida$974$947$638$1,48730
Indiana$962$937$749$1,2125
West Virginia$961$899$899$1,0863
Minnesota$918$994$595$1,60951
Massachusetts$909$769$719$1,3727
Kansas$909$697$553$1,40711
Kentucky$886$937$758$1,10022
North Carolina$879$823$714$1,25843
Idaho$868$838$638$1,0986
Mississippi$865$865$847$8832
Oklahoma$857$788$725$1,0858
Ohio$849$819$795$1,26744
Puerto Rico$823$823$823$8231
North Dakota$754$719$646$1,11510
Alabama$719$694$624$8383
Louisiana$713$638$638$1,25020
Iowa$678$737$553$8125
Tennessee$664$531$531$1,28010
Nebraska$604$553$553$82612
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