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Custom Root Canal Procedure

Oregon 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.

How much rates vary

Facilitymedian $871 · 10th to 90th $603 to $2,138Professionalmedian $79 · 10th to 90th $60 to $79
$100.0$1.0K$10.0K$100.0K$1.0Mfacility $871professional $79

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
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$2,137.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,659,586.91
Median
$1,659,586.91
Typical High
$1,659,586.91
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$79.43