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Custom Additional Dental Procedure

New York 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?

$53.70

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $53.70 for this service. Most negotiated rates run $53.70 to $75.86.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $54 · 10th to 90th $54 to $158Professionalmedian $54 · 10th to 90th $29 to $457
$100$1K$10Kfacility $54professional $54

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
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$125.89
Typical High
$501.19
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$50,118.72
Typical High
$53,703.18
Univera
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Univera
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$53.70
Typical High
$158.49

Where New York 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.

New York· 27th of 40

$53.70

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.