Transseptal Fiberotomy (D7291) — National Rates

Negotiated reimbursement rates for D7291 across 16 states, sourced from CMS Transparency in Coverage data. 112 rate records.

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National Average Negotiated Rate
$139
112 rate records · 16 states
📊 Data updated monthly · Last refresh: March 2026

About D7291 — Transseptal Fiberotomy

Transseptal fiberotomy is a surgical procedure that involves cutting the transseptal fibers between teeth to facilitate orthodontic movement. This procedure is indicated when there is a need to prevent relapse during orthodontic treatment. Documentation should include the rationale for the procedure, the teeth involved, and any relevant orthodontic history. Reimbursement for this service varies by payor and state, with some insurance plans covering it as part of orthodontic treatment while others may not. The average reimbursement for this code is approximately $139.

Reimbursement rates for D7291 vary significantly by state, payor, and provider network. The national average negotiated rate is $139. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D7291

District of Columbia
$250
1 records
Wisconsin
$250
3 records
California
$196
18 records

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Full National Breakdown

Median
$163
Low
$30
High
$277

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
District of Columbia$250
Wisconsin$250
California$196
Arizona$183
Florida$177

↓ Bottom 5

StateAvg Rate
South Carolina$111
Kentucky$103
New York$90
Georgia$75
Colorado$68

All States — D7291 Average Rates

District of Columbia
$250
Wisconsin
$250
California
$196
Arizona
$183
Florida
$177
Missouri
$169
Indiana
$165
Maryland
$163
Illinois
$155
Virginia
$144
Ohio
$122
South Carolina
$111
Kentucky
$103
New York
$90
Georgia
$75
Colorado
$68
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
District of Columbia$250$250$250$2501
Wisconsin$250$250$250$2503
California$196$191$183$27118
Arizona$183$183$183$1831
Florida$177$177$163$1912
Missouri$169$169$169$1691
Indiana$165$163$137$27723
Maryland$163$163$163$1631
Illinois$155$163$65$2294
Virginia$144$169$65$1698
Ohio$122$122$122$1221
South Carolina$111$115$30$18811
Kentucky$103$103$43$1632
New York$90$72$54$1527
Georgia$75$75$75$751
Colorado$68$65$65$11615
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