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Deep Cleaning — Several Teeth Per Section

Pennsylvania 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 October 2026.

How much does Deep Cleaning — Several Teeth Per Section cost?

$100

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $331 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$97.72$95.50 to $100
FacilityA hospital or hospital-owned outpatient department$331$331 to $661

How much rates vary

Facilitymedian $331 · 10th to 90th $100 to $5,012Professionalmedian $98 · 10th to 90th $89 to $100
$100$1K$10Kfacility $331professional $98

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$100.00
Typical High
$100.00
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$660.69
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$95.50
Typical High
$100.00
Geisinger
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Independence Blue Cross
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$660.69
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$100.00
Typical High
$100.00
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$190.55
Typical High
$190.55

Where Pennsylvania sits

The same service costs 12.6 times more in Texas than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 38th of 51

$100

TX $676NJ $53.70

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.