United States
Also known as: USA, United States of America, US
The United States has a national procedure code set for dentistry but no national fee schedule: dentists are licensed state by state, prices are set practice by practice, and the only official published dental fee schedules are state instruments that bind particular payers rather than the private market.
US · prices quoted in USD
How implant treatment is priced and regulated
| Official fee schedule | There is no national dental fee schedule in the United States. The American Dental Association states that it cannot quote fees for dental procedures and is forbidden by federal law to set or recommend fees, and that its Council on Dental Practice discontinued the Survey of Dental Fees in 2023, removing it from download after a change in law eliminated safe harbour disclosure. Official dental fee schedules exist only at state level and bind particular payers — for example the Official New York Workers' Compensation Dental Fee Schedule, made under 12 NYCRR Part 444, which sets maximum fees for treating a work-related injury in New York State.Verified spec[5][1]The brief for this record assumed the ADA Health Policy Institute still publishes a paywalled Survey of Dental Fees. It does not — the survey was discontinued in 2023 and withdrawn, so figures attributed to it are at least four years old whatever their source claims. |
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| Procedure coding system | Dental procedures are identified nationally by the Code on Dental Procedures and Nomenclature (the CDT Code), maintained by the American Dental Association and named by CMS as one of the code sets adopted under HIPAA for use in electronic health care transactions. The CDT assigns a code to each procedure but attaches no price: D6010 is the surgical placement of an implant body (endosteal implant), D6057 a custom fabricated abutment and D6058 an abutment-supported porcelain or ceramic crown.Verified spec[6][2][3]This matters practically: a US quotation that lists CDT codes can be compared line for line against an insurer's schedule and against a cost-lookup tool. One that lists only "implant package" cannot. |
| Published figure | The Official New York Workers' Compensation Dental Fee Schedule, Second Edition, effective 13 November 2025, sets these maximum fees (USD, CDT 2025 codes): D6010 surgical placement of implant body, endosteal implant — $2,100.00; D6056 prefabricated abutment — $840.00; D6057 custom fabricated abutment — $971.00; D6058 abutment-supported porcelain/ceramic crown — $1,470.00; D6065 implant-supported porcelain/ceramic crown — $2,440.00; D6013 surgical placement of a mini implant — $945.00. Related bone work: D7951 sinus augmentation via a lateral open approach — $2,100.00; D7953 bone replacement graft for ridge preservation, per site — $560.00.Verified spec[3]Read the scope before the number. These are maximum fees a dental provider may charge a workers' compensation insurance carrier for treating a work-related injury in New York State; most of the implant codes also require prior authorisation. They are not prices for private treatment, not a New York private average, and not a national figure. They are recorded here because they are a genuine official, dated, per-procedure US dental schedule that shows what the separate components of an implant case are priced as. Schedule fees may be exceeded by 25% where the carrier has filed a notice of controversy. The First Edition of 1 March 2009 (D6010 at $1,800.00) was superseded on 13 November 2025. |
| Schedule total for one implant | $4,541.00 for one implant restored with a custom abutment and a ceramic crown (D6010 $2,100.00 + D6057 $971.00 + D6058 $1,470.00), under the New York workers' compensation schedule effective 13 November 2025. Restoring the same implant with a screw-retained implant-supported ceramic crown instead (D6010 + D6065) totals $4,540.00.DerivedArithmetic on one payer's schedule, not a market price. It excludes diagnosis, imaging, extraction, any grafting or sinus work, sedation and follow-up, each of which is a separately coded and separately priced line in the same schedule. |
| A national figure? | Not publicly verified(No authoritative national figure for the cost of a dental implant in the United States exists to record. Checked on 2026-07-22: the ADA Health Policy Institute, which states it is forbidden by federal law to set or recommend fees and discontinued its Survey of Dental Fees in 2023; the ADA CDT Code, which numbers procedures without pricing them; Medicare, which does not cover implants in most cases and so publishes no allowance for them; and FAIR Health's consumer estimator, which is free and public but returns an interactive ZIP-code-specific estimate behind a terms-of-use acceptance rather than a published national figure that can be cited and dated. A single national average would in any case misdescribe a country where fees are set practice by practice in fifty separate licensing jurisdictions.) |
| Public funding for implants | Medicare does not fund implants for most beneficiaries. CMS states that in most cases Medicare does not cover dental services like routine cleanings, fillings, tooth extractions, or items like dentures and implants; the exceptions are dental services tied to a covered medical treatment, such as an oral examination before a heart valve replacement or an organ transplant, or removal of an oral infection before cancer treatment or dialysis. For non-covered services the beneficiary pays all costs.Verified spec[4]Medicare Advantage (Part C) plans may offer dental cover as a supplemental benefit; that is a plan-by-plan matter and is not recorded here. |
| Medicaid coverage | Requires manual verification(Medicaid is administered by each state, so adult dental cover — and therefore any implant cover — varies by state rather than being set nationally. The position could not be verified from the payer's own page: medicaid.gov returned HTTP 403 to every automated request made on 2026-07-22, so no quotation from the CMS Medicaid dental page has been recorded. This needs checking by hand against https://www.medicaid.gov/medicaid/benefits/dental-care and the reader's own state Medicaid agency before anything is published about it.) |
| Regulator and public register | There is no single national regulator or national register of dentists. Licensure requirements are set by the state board of dentistry — also called the board of dental examiners or licensing board — in each state and territory, and the state boards are responsible for licensing individuals, setting standards of practice and conduct, and taking disciplinary action. A patient checks a clinician's licence with the board for the state where the practice is, and the American Dental Association publishes contact details for every state and territory board.Verified spec[7]Directory: https://www.ada.org/resources/careers/licensure/state-dental-boards. Most state boards run their own online licence lookup; there is no equivalent of the UK's single GDC register. |
| Public cost-estimator | FAIR Health, a nonprofit that manages a national database of privately billed health insurance claims, runs a free consumer cost estimator that covers dental procedures. The dental estimator asks for a CDT code or keyword and the location where care will be received, and includes implant and bridge procedures under its prosthetic services category. Estimates are derived from insurance claim records rather than from any official tariff.Verified spec[8][9]Two limits worth stating to a reader. The estimate is built from claims, so a procedure that is often paid for out of pocket rather than billed to insurance is represented more thinly than a routine covered one. And the output is a location-specific estimate generated on demand behind a terms-of-use acceptance, so it is a tool to use rather than a figure to quote. |
What actually drives the price here
In a market with no reference price, the variables are the quotation's own contents and the patient's insurance position. Scope first: American practices commonly quote the surgical placement, the abutment and the crown as three separate CDT lines, and a headline "implant price" may be D6010 alone — roughly half the cost of the finished tooth. Bone work is the second variable and is separately coded; a lateral-window sinus augmentation is a substantial procedure in its own right. Geography is the third, and it is not marginal in a country this large: fees vary between and within states, which is exactly what a ZIP-code lookup is for. Fourth is who is doing the work and where — an oral and maxillofacial surgeon or periodontist placing the implant and a general dentist restoring it means two practices, two fee schedules and two claims. Fifth is the insurance position: dental plans typically carry a low annual maximum, so even a plan that covers implants may cover only part of one year's treatment, and whether the practice is in-network determines whether a negotiated rate applies at all. The practical move is to get every line as a CDT code with a fee, send that list to the insurer for a pre-treatment estimate before anything is booked, and ask specifically what is not on the list.
What to ask for, wherever you are treated
A quote you can compare is itemised. Ask for each of these in writing before you commit — the answers matter more than the headline figure, and a clinic that will not put them in writing has told you something useful.
- — The implant system by name, so the components can be sourced later
- — Fixture, abutment and crown priced separately
- — Whether a CBCT scan and the surgical guide are included
- — What a bone graft or sinus lift would add, if one turns out to be needed
- — The guarantee terms in full, including what voids them
- — Who provides follow-up care, and what a corrective visit would cost
Sources
Numbers match the citations beside each claim above.
Primary sources
- [1]Dental Fee Schedule — current and superseded editions — New York State Workers' Compensation Board. Accessed 2026-07-22.
- [2]Code Sets Overview — Administrative Simplification — Centers for Medicare & Medicaid Services. Accessed 2026-07-22.
- [3]Official New York Workers' Compensation Dental Fee Schedule, Second Edition — New York State Workers' Compensation Board, 2025. Accessed 2026-07-22.
- [4]Dental services — what Medicare covers — Centers for Medicare & Medicaid Services (Medicare.gov). Accessed 2026-07-22.
Additional references
- [5]The Dental Care Market — Health Policy Institute (includes "Where can I get the ADA's fee schedule?") — American Dental Association, Health Policy Institute. Accessed 2026-07-22.
- [6]The Code on Dental Procedures and Nomenclature (CDT Code) — American Dental Association. Accessed 2026-07-22.
- [7]State dental boards — contact directory for every state and territory — American Dental Association. Accessed 2026-07-22.
- [8]About Us — FAIR Health — FAIR Health, Inc.. Accessed 2026-07-22.
- [9]FAIR Health Consumer — Dental Cost Estimator — FAIR Health, Inc.. Accessed 2026-07-22.