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Limited Problem-Focused Oral Evaluation

Iowa rates for HCPCS D0140

A focused examination centered on a specific complaint, such as pain, swelling, or an injury, rather than a full review of the entire mouth. The dentist evaluates the problem area and may take a targeted X-ray to figure out what is going on, often on a same-day or urgent basis. It is not a substitute for a routine or comprehensive check-up.

Rates data updated October 2026.

How much does Limited Problem-Focused Oral Evaluation cost?

$46.77

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $46.77 for this service. Most negotiated rates run $35.48 to $64.57.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $33 · 10th to 90th $28 to $78Professionalmedian $47 · 10th to 90th $22 to $158
$20$50$100facility $33professional $47

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$22.39
Typical High
$27.54
Hally Health
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$102.33
Typical High
$109.65
Medica
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$35.48
Typical High
$77.62
Medica
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$158.49
Typical High
$158.49
Midlands
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$58.88
Midlands
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$61.66
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$46.77
Typical High
$47.86
Wellmark
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Iowa sits

The same service costs 5.1 times more in Minnesota than in West Virginia. 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· 10th of 51

$46.77

MN $85.11WV $16.60

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.