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Limited Problem-Focused Oral Evaluation

Indiana 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 July 2026.

How much does Limited Problem-Focused Oral Evaluation cost?

$25.12

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $28.18 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$25.12$20.89 to $38.02
FacilityA hospital or hospital-owned outpatient department$28.18$22.91 to $41.69

How much rates vary

Facilitymedian $28 · 10th to 90th $17 to $479Professionalmedian $25 · 10th to 90th $18 to $47
$20$50$100$200$500facility $28professional $25

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$22.91
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$22.91
Typical High
$33.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$41.69
Typical High
$60.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$28.18
CareSource
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$54.95
Typical High
$77.62

Where Indiana sits

The same service costs 4.6 times more in Minnesota than in Vermont. 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.

Indiana· 34th of 51

$25.12

MN $102VT $22.39

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.