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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 October 2026.

How much does Limited Problem-Focused Oral Evaluation cost?

$38.02

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $407 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$38.02$22.91 to $38.02
FacilityA hospital or hospital-owned outpatient department$407$38.02 to $912

How much rates vary

Facilitymedian $407 · 10th to 90th $17 to $2,138Professionalmedian $38 · 10th to 90th $17 to $43
$20$50$100$200$500$1K$2Kfacility $407professional $38

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$24.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$24.55
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$407.38
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$47.86
CareSource
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$25.70
Typical High
$25.70
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$2,089.30
Typical High
$2,290.87
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$37.15
Typical High
$53.70
United
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$45.71
Typical High
$77.62

Where Indiana 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.

Indiana· 24th of 51

$38.02

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.