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Custom Orthodontic Procedure

Iowa rates for HCPCS D8999

An orthodontic treatment, related to straightening teeth or correcting bite alignment, that doesn't match one of the standard, commonly used procedures, so the provider explains exactly what was done. It's used for unusual situations that need an individualized orthodontic approach.

Rates data updated July 2026.

How much does Custom Orthodontic Procedure cost?

$8,913

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $8,913 for this service. Most negotiated rates run $8,913 to $10,715.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10,715 · 10th to 90th $10,715 to $11,482Professionalmedian $8,913 · 10th to 90th $151 to $10,965
$200$500$1K$2K$5K$10Kfacility $10,715professional $8,913

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$11,481.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$10,715.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$8,912.51
Typical High
$8,912.51

Where Iowa sits

The same service costs 3235936.6 times more in Pennsylvania than in Connecticut. 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.

Iowa· 6th of 36

$8,913

PA $64,565CT $0.02

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.