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Custom Root Canal Procedure

Indiana 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 October 2026.

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1 to $2,630Professionalmedian $1 · 10th to 90th $1 to $1
$1$10$100$1Kfacility $1,995professional $1

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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1.00
Median
$1,995.26
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1.00
Median
$1.00
Typical High
$1.41
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$2,089.30
Typical High
$2,398.83