Office Visit — After Regular Hours (D9440) — National Rates

Negotiated reimbursement rates for D9440 across 38 states, sourced from CMS Transparency in Coverage data. 292 rate records.

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National Average Negotiated Rate
$81
292 rate records · 38 states
📊 Data updated monthly · Last refresh: March 2026

About D9440 — Office Visit — After Regular Hours

D9440 is used for office visits that occur after regular office hours. This code is applicable when a patient requires urgent dental care outside of standard business hours. Clinical indications may include dental emergencies or situations where immediate care is necessary to alleviate pain or prevent further complications. Documentation should clearly outline the urgency of the visit and the services provided. Reimbursement for D9440 can vary by payor, with some insurers offering higher rates for after-hours services, while others may have limitations or require additional justification for the visit.

Reimbursement rates for D9440 vary significantly by state, payor, and provider network. The national average negotiated rate is $81. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D9440

Hawaii
$146
2 records
Nevada
$112
4 records
Georgia
$108
13 records

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Full National Breakdown

Median
$74
Low
$34
High
$395

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Hawaii$146
Nevada$112
Georgia$108
Washington$108
California$106

↓ Bottom 5

StateAvg Rate
Minnesota$54
Kentucky$52
Wyoming$47
Nebraska$45
Iowa$34

All States — D9440 Average Rates

Hawaii
$146
Nevada
$112
Georgia
$108
Washington
$108
California
$106
Maine
$104
New Hampshire
$104
New York
$103
Oregon
$99
Connecticut
$95
Arizona
$95
Colorado
$94
New Mexico
$92
North Carolina
$88
Missouri
$87
Delaware
$86
West Virginia
$84
New Jersey
$83
Virginia
$80
District of Columbia
$79
Maryland
$77
Texas
$76
Florida
$76
South Carolina
$71
Pennsylvania
$70
Illinois
$67
Kansas
$67
Michigan
$67
Oklahoma
$62
Massachusetts
$60
Tennessee
$56
Indiana
$55
Idaho
$54
Minnesota
$54
Kentucky
$52
Wyoming
$47
Nebraska
$45
Iowa
$34
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Hawaii$146$146$129$1632
Nevada$112$108$95$1374
Georgia$108$109$73$12813
Washington$108$108$98$1182
California$106$116$43$14136
Maine$104$104$104$1042
New Hampshire$104$104$104$1041
New York$103$80$44$39510
Oregon$99$99$99$991
Connecticut$95$103$80$1033
Arizona$95$97$75$9714
Colorado$94$94$64$1232
New Mexico$92$92$92$921
North Carolina$88$95$48$1124
Missouri$87$82$79$1074
Delaware$86$86$86$861
West Virginia$84$84$84$841
New Jersey$83$85$59$11010
Virginia$80$79$51$11812
District of Columbia$79$79$79$791
Maryland$77$82$48$11112
Texas$76$71$37$11812
Florida$76$74$43$9431
South Carolina$71$46$46$14711
Pennsylvania$70$69$45$1026
Illinois$67$66$66$10050
Kansas$67$52$52$973
Michigan$67$66$37$983
Oklahoma$62$62$62$629
Massachusetts$60$64$34$794
Tennessee$56$56$34$792
Indiana$55$55$55$551
Idaho$54$54$54$543
Minnesota$54$54$37$712
Kentucky$52$60$37$603
Wyoming$47$47$47$471
Nebraska$45$45$41$492
Iowa$34$34$34$347
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