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Custom Diagnostic Procedure

Ohio rates for HCPCS D0999

A diagnostic service, used to evaluate your teeth, gums, or overall oral health, that doesn't match one of the standard, commonly used diagnostic procedures, so your dentist provides a detailed explanation of exactly what was done. It's used for less typical evaluations that need an individualized approach.

Rates data updated July 2026.

How much does Custom Diagnostic Procedure cost?

$0.02

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $0.02 for this service. Most negotiated rates run $0.02 to $1.00.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $0 · 10th to 90th $0 to $60
$0.1$1$10$100professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$38.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$75.86

Where Ohio sits

The same service costs 3235936.6 times more in Pennsylvania than in Ohio. 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.

Ohio· 28th of 28

$0.02

PA $64,565OH $0.02

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.