Internal Bleaching — Per Tooth (D9974) — National Rates

Negotiated reimbursement rates for D9974 across 45 states, sourced from CMS Transparency in Coverage data. 483 rate records.

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National Average Negotiated Rate
$191
483 rate records · 45 states
📊 Data updated monthly · Last refresh: March 2026

About D9974 — Internal Bleaching — Per Tooth

Internal Bleaching per Tooth, coded as D9974, is a procedure used to whiten discolored teeth that have undergone root canal treatment. Clinical indications include darkened teeth due to necrotic pulp or previous endodontic therapy. Documentation for billing should include the history of the tooth, the reason for discoloration, and the treatment performed. Reimbursement for D9974 can differ significantly between payors and states, with some insurance plans covering it as a necessary restorative procedure while others may not. The average reimbursement for this code is approximately $191, making it essential to verify coverage with the patient's insurance provider prior to treatment.

Reimbursement rates for D9974 vary significantly by state, payor, and provider network. The national average negotiated rate is $191. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D9974

Alaska
$297
1 records
New York
$274
19 records
Washington
$258
15 records

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Full National Breakdown

Median
$180
Low
$64
High
$495

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Alaska$297
New York$274
Washington$258
New Hampshire$252
Massachusetts$248

↓ Bottom 5

StateAvg Rate
Tennessee$94
Oklahoma$94
Arkansas$85
Nebraska$72
Minnesota$64

All States — D9974 Average Rates

Alaska
$297
New York
$274
Washington
$258
New Hampshire
$252
Massachusetts
$248
District of Columbia
$235
Florida
$232
Oregon
$232
Delaware
$223
North Carolina
$223
Pennsylvania
$219
Hawaii
$218
North Dakota
$218
Illinois
$216
Kentucky
$216
Connecticut
$214
Maine
$214
California
$213
Wisconsin
$211
New Mexico
$203
Colorado
$201
Arizona
$186
New Jersey
$180
Michigan
$175
Georgia
$173
Missouri
$169
Maryland
$160
Ohio
$152
South Carolina
$143
Texas
$141
Virginia
$140
Kansas
$135
Utah
$134
Alabama
$134
Indiana
$132
Nevada
$131
Louisiana
$126
Idaho
$125
Wyoming
$108
Iowa
$96
Tennessee
$94
Oklahoma
$94
Arkansas
$85
Nebraska
$72
Minnesota
$64
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Alaska$297$297$297$2971
New York$274$217$116$49519
Washington$258$297$83$31615
New Hampshire$252$252$252$2522
Massachusetts$248$252$207$3397
District of Columbia$235$255$151$3003
Florida$232$220$180$3398
Oregon$232$230$180$2863
Delaware$223$223$223$2231
North Carolina$223$232$147$2696
Pennsylvania$219$186$115$4957
Hawaii$218$218$211$2242
North Dakota$218$218$120$3152
Illinois$216$224$200$2243
Kentucky$216$216$216$2161
Connecticut$214$222$175$2384
Maine$214$214$214$2141
California$213$180$130$359174
Wisconsin$211$224$168$2249
New Mexico$203$211$178$2118
Colorado$201$210$153$2136
Arizona$186$195$118$25210
New Jersey$180$151$116$25620
Michigan$175$163$160$2023
Georgia$173$155$135$20521
Missouri$169$190$68$21311
Maryland$160$159$113$22112
Ohio$152$142$105$1915
South Carolina$143$124$118$29620
Texas$141$130$130$20322
Virginia$140$139$127$17013
Kansas$135$132$68$2135
Utah$134$134$126$1432
Alabama$134$134$134$1346
Indiana$132$121$121$1678
Nevada$131$154$80$1586
Louisiana$126$130$114$1343
Idaho$125$125$125$1253
Wyoming$108$108$108$1081
Iowa$96$105$68$1058
Tennessee$94$94$94$943
Oklahoma$94$94$78$1092
Arkansas$85$85$85$851
Nebraska$72$68$68$10410
Minnesota$64$64$64$641
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