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Custom Additional Dental Procedure

Nationwide rates for HCPCS D9999

A dental service that supports or adds to your main treatment but doesn't match one of the standard, commonly used procedures, so your dentist provides a detailed explanation of exactly what was done. It covers a wide range of miscellaneous services that don't fit neatly elsewhere.

Rates data updated July 2026.

Facilitymedian $4,365 · 10th–90th $100$9,1200%20%10th90th$4,365Professionalmedian $141 · 10th–90th $1$3020%20%10th90th$141$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
Professional
Modifier
Global
Typical Low
$15.14
Median
$181.97
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$1.00
Typical High
$1.51