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Custom Additional Dental Procedure

Iowa 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.

How much does Custom Additional Dental Procedure cost?

$93.33

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $93.33 for this service. Most negotiated rates run $93.33 to $115.

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 $112 · 10th to 90th $112 to $117Professionalmedian $93 · 10th to 90th $93 to $151
$100facility $112professional $93

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
$112.20
Median
$112.20
Typical High
$117.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Midlands
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$93.33

Where Iowa sits

The same service costs 3235936.6 times more in Pennsylvania than in Ohio. 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· 17th of 40

$93.33

PA $64,565OH $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.