Comprehensive Orthodontic — By Report (D8091) — National Rates

Negotiated reimbursement rates for D8091 across 36 states, sourced from CMS Transparency in Coverage data. 269 rate records.

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National Average Negotiated Rate
$4,649
269 rate records · 36 states
📊 Data updated monthly · Last refresh: March 2026

About D8091 — Comprehensive Orthodontic — By Report

D8091 is the code for Comprehensive Orthodontic treatment billed 'By Report.' This code is used when the orthodontic treatment plan is complex or unique, requiring additional documentation to justify the services rendered. Clinical indications may include cases that do not fit standard treatment protocols or when multiple modalities are employed. Proper documentation is crucial, and it should include a comprehensive treatment plan, clinical notes, and any relevant diagnostic records. Reimbursement for D8091 varies widely among payors and states, as it often depends on the specifics of the case presented. Average reimbursement is approximately $4, but actual amounts can differ based on the insurance provider's policies and the complexity of the treatment.

Reimbursement rates for D8091 vary significantly by state, payor, and provider network. The national average negotiated rate is $4. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D8091

North Dakota
$5,600
1 records
Connecticut
$5,310
1 records
Pennsylvania
$5,310
1 records

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Full National Breakdown

Median
$4,620
Low
$73
High
$6,100

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
North Dakota$5,600
Connecticut$5,310
Pennsylvania$5,310
Florida$5,261
Illinois$5,155

↓ Bottom 5

StateAvg Rate
Utah$4,480
Michigan$4,357
Oklahoma$4,295
Hawaii$4,200
South Carolina$1,803

All States — D8091 Average Rates

North Dakota
$5,600
Connecticut
$5,310
Pennsylvania
$5,310
Florida
$5,261
Illinois
$5,155
New York
$5,154
Missouri
$5,070
Nevada
$5,015
Colorado
$5,002
Texas
$4,886
Kansas
$4,885
Oregon
$4,850
Washington
$4,841
Arizona
$4,839
Wisconsin
$4,806
Louisiana
$4,785
Mississippi
$4,719
Alabama
$4,695
New Mexico
$4,643
Minnesota
$4,642
Indiana
$4,620
North Carolina
$4,620
Georgia
$4,619
Maine
$4,595
Virginia
$4,593
California
$4,589
Ohio
$4,575
West Virginia
$4,575
Maryland
$4,560
Kentucky
$4,550
Massachusetts
$4,510
Utah
$4,480
Michigan
$4,357
Oklahoma
$4,295
Hawaii
$4,200
South Carolina
$1,803
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
North Dakota$5,600$5,600$5,600$5,6001
Connecticut$5,310$5,310$5,310$5,3101
Pennsylvania$5,310$5,310$5,310$5,3101
Florida$5,261$5,170$4,960$5,7454
Illinois$5,155$5,310$4,785$5,79010
New York$5,154$4,842$4,620$6,1006
Missouri$5,070$5,140$4,720$5,1406
Nevada$5,015$4,904$4,864$5,48522
Colorado$5,002$5,002$4,690$5,3152
Texas$4,886$4,805$4,620$5,5359
Kansas$4,885$4,885$4,885$4,8851
Oregon$4,850$4,850$4,850$4,8501
Washington$4,841$4,841$4,785$4,8972
Arizona$4,839$4,830$4,620$5,0656
Wisconsin$4,806$4,785$4,785$5,02011
Louisiana$4,785$4,785$4,785$4,7851
Mississippi$4,719$4,735$4,620$4,7357
Alabama$4,695$4,695$4,695$4,6951
New Mexico$4,643$4,600$4,600$4,7857
Minnesota$4,642$4,820$4,375$4,8205
Indiana$4,620$4,620$4,620$4,6201
North Carolina$4,620$4,620$4,620$4,6201
Georgia$4,619$4,620$4,410$4,820122
Maine$4,595$4,595$4,595$4,5951
Virginia$4,593$4,220$4,220$5,5005
California$4,589$4,523$4,000$5,3104
Ohio$4,575$4,575$4,575$4,5751
West Virginia$4,575$4,575$4,575$4,5751
Maryland$4,560$4,580$4,100$5,0003
Kentucky$4,550$4,575$4,300$4,7504
Massachusetts$4,510$4,510$4,400$4,6202
Utah$4,480$4,480$4,480$4,4801
Michigan$4,357$4,182$4,182$5,1438
Oklahoma$4,295$4,295$4,295$4,2951
Hawaii$4,200$4,200$4,200$4,2002
South Carolina$1,803$1,785$1,000$2,6253
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