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Limited Problem-Focused Oral Evaluation

Michigan 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?

$21.38

Typical physician fee. In Michigan, October 2026.

Insurers have agreed to pay about $21.38 for this service. Most negotiated rates run $20.89 to $21.38.

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.

How much rates vary

Facilitymedian $21 · 10th to 90th $21 to $23Professionalmedian $21 · 10th to 90th $21 to $23
$20$50$100facility $21professional $21

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
$21.38
Median
$21.38
Typical High
$22.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$22.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$21.88
Priority Health
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$67.61
Typical High
$70.79

Where Michigan 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.

Michigan· 49th of 51

$21.38

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.