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Custom Root Canal Procedure

Pennsylvania 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 $8,511 · 10th–90th $5,012$77,6250%20%10th90th$8,511Professionalmedian $64,565 · 10th–90th $64,565$64,5650%50%$64,565$10.0K$20.0K$50.0K

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
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$64,565.42