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Custom Tooth Restoration Procedure

Idaho rates for HCPCS D2999

A tooth-repair treatment that doesn't match one of the standard, commonly used restoration procedures, so your dentist describes exactly what was done in detail. It's used for less typical situations where a tooth needs a customized approach to repair or rebuild it.

Rates data updated October 2026.

How much does Custom Tooth Restoration Procedure cost?

$562

Typical facility fee. In Idaho, October 2026.

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $39.81 to $1,622.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $708 · 10th to 90th $44 to $2,692Professionalmedian $30 · 10th to 90th $30 to $2,692
$50$100$200$500$1K$2Kfacility $708professional $30

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
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$741.31
Typical High
$2,691.53
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Select Health
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$39.81
Typical High
$3,548.13

Where Idaho sits

The same service costs 588843.7 times more in Pennsylvania than in New York. 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.

Idaho· 16th of 35

$562

PA $58,884NY $0.10

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.