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Deep Cleaning — Several Teeth Per Section

Michigan rates for HCPCS D4341

A deep cleaning procedure that removes plaque and tartar from below the gumline and smooths the tooth root surface, done to treat gum disease, covering several teeth in one section of the mouth. It goes deeper than a routine cleaning, which only cleans above and slightly below the gumline. Local numbing is typically used since it reaches below the gum tissue.

Rates data updated July 2026.

Facilitymedian $100 · 10th–90th $100$1000%50%100%$100Professionalmedian $100 · 10th–90th $85$1070%50%10th90th$100$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$114.82
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15