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Custom Root Canal Procedure

Illinois rates for HCPCS D3999

A root canal or tooth-nerve related treatment that doesn't match one of the standard, commonly used procedures, so your dentist provides a detailed explanation of exactly what was performed. It's used for unusual cases involving the inside of a tooth that need an individualized approach.

Rates data updated July 2026.

Facilitymedian $933 · 10th–90th $832$1,1220%20%40%10th90th$933Professionalmedian $126 · 10th–90th $30$3470%20%10th90th$126$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$933.25
Typical High
$1,122.02
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20