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Custom Diagnostic Procedure

Utah 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 rates vary

Professionalmedian $30 · 10th to 90th $30 to $60
$50professional $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
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$60.26