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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 October 2026.

How much rates vary

Facilitymedian $832 · 10th to 90th $832 to $1,659,587Professionalmedian $79 · 10th to 90th $71 to $79
$100$1K$10K$100K$1Mfacility $832professional $79

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
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$1,318.26
Providence
Setting
Facility
Modifier
None
Typical Low
$1,659,586.91
Median
$1,659,586.91
Typical High
$1,659,586.91
Providence
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$79.43
Typical High
$79.43