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Custom Orthodontic Procedure

Texas 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?

$30.20

Typical physician fee. In Texas, July 2026.

Insurers have agreed to pay about $30.20 for this service. Most negotiated rates run $30.20 to $123.

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 $123 · 10th to 90th $123 to $132Professionalmedian $30 · 10th to 90th $30 to $71
$50$100$200$500facility $123professional $30

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
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$50.12
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$79.43
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58

Where Texas 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.

Texas· 29th of 36

$30.20

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.