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Custom Root Canal Procedure

South Carolina 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 $2,291 · 10th to 90th $1,445 to $4,266Professionalmedian $30 · 10th to 90th $30 to $30
$50$100$200$500$1K$2K$5Kfacility $2,291professional $30

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
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,290.87
Typical High
$4,265.80
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20