go back

Custom Diagnostic Procedure

Texas 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?

$30.20

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $30.20 for this service. Most negotiated rates run $1.32 to $30.20.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $79Professionalmedian $30 · 10th to 90th $30 to $759
$2$10$50$200facility $1professional $30

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$1.32
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$1.32
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58

Where Texas 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.

Texas· 19th of 28

$30.20

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.