Custom Fabricated Abutment
Open-data reference.
About custom fabricated abutment
What it is: Custom-fabricated implant abutment
What it costs: The national private-market average is $677 based on the ADA Health Policy Institute Survey of Dental Fees (2024). State variation pushes this between $597 (lowest cost-of-living states) and $812 (highest). State Medicaid programs that cover custom fabricated abutment for adults reimburse an average of $369 (range $262–$494 across the 19 covering states). The highest-paying Medicaid programs are Alaska ($494), New York ($461), District of Columbia ($442), worth checking if you're comparing states for Medicaid access to this procedure.
(across covering states)
Custom Fabricated Abutment cost by state
| State | Medicaid fee | Private estimate |
|---|---|---|
| Alaska | $494 | $730 |
| New York | $461 | $812 |
| District of Columbia | $442 | $805 |
| Minnesota | $433 | $695 |
| Connecticut | $403 | $756 |
| North Dakota | $403 | $636 |
| Massachusetts | $390 | $765 |
| Washington | $369 | $758 |
| California | $360 | $784 |
| New Jersey | $360 | $784 |
| Maryland | $357 | $763 |
| Oregon | $357 | $708 |
| Vermont | $354 | $691 |
| Iowa | $329 | $625 |
| Virginia | $329 | $705 |
| Rhode Island | $317 | $695 |
| New Hampshire | $311 | $726 |
| Michigan | $287 | $656 |
| Illinois | $262 | $691 |
| Hawaii | – | $784 |
| Colorado | – | $710 |
| Delaware | – | $694 |
| Maine | – | $688 |
| Nevada | – | $688 |
| Florida | – | $687 |
| Pennsylvania | – | $675 |
| Arizona | – | $668 |
| Utah | – | $668 |
| Texas | – | $667 |
| Wisconsin | – | $662 |
| Wyoming | – | $659 |
| Montana | – | $650 |
| Idaho | – | $647 |
| North Carolina | – | $641 |
| Georgia | – | $640 |
| New Mexico | – | $638 |
| Nebraska | – | $632 |
| South Carolina | – | $632 |
| Louisiana | – | $632 |
| Missouri | – | $632 |
| Ohio | – | $632 |
| Indiana | – | $629 |
| Kansas | – | $627 |
| Tennessee | – | $625 |
| Oklahoma | – | $619 |
| Kentucky | – | $615 |
| South Dakota | – | $613 |
| Arkansas | – | $608 |
| West Virginia | – | $608 |
| Alabama | – | $599 |
| Mississippi | – | $597 |
Analysis: how to think about custom fabricated abutment costs
The implants category spread for custom fabricated abutment (CDT D6057) runs 36% between the cheapest and priciest states in our 2024 dataset, and cost of living explains most of that gap, not procedure difficulty.
19 of 50 states reimburse adult Medicaid patients for this code, averaging $369 (about 55% of the private rate). Practices in the other 31 states have no Medicaid fee schedule entry for D6057, which is part of why Medicaid-accepting providers can be scarce for this procedure. Related: finding affordable dental care.
Related
Source: ADA HPI Survey of Dental Fees (2024). State Medicaid fee schedules (2026 Q1). Estimates, not quotes, see our disclaimer.