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Deep Cleaning — Several Teeth Per Section

Washington rates for HCPCS D4341

A deep cleaning procedure that removes plaque and tartar from below the gumline and smooths the tooth root surface, done to treat gum disease, covering several teeth in one section of the mouth. It goes deeper than a routine cleaning, which only cleans above and slightly below the gumline. Local numbing is typically used since it reaches below the gum tissue.

Rates data updated October 2026.

How much does Deep Cleaning — Several Teeth Per Section cost?

$234

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $204 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$126 to $676
FacilityA hospital or hospital-owned outpatient department$204$126 to $219

How much rates vary

Facilitymedian $204 · 10th to 90th $85 to $224Professionalmedian $240 · 10th to 90th $79 to $977
$50$100$200$500$1Kfacility $204professional $240

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$125.89
Typical High
$125.89
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$676.08
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$977.24
Typical High
$977.24
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$223.87
Typical High
$269.15
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$50.12
Typical High
$50.12
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$218.78
Typical High
$223.87
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04

Where Washington sits

The same service costs 12.6 times more in Texas than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington· 6th of 51

$234

TX $676NJ $53.70

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.