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Limited Problem-Focused Oral Evaluation

Nebraska 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 Nebraska, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $30.20 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$23.99$20.42 to $30.20
FacilityA hospital or hospital-owned outpatient department$30.20$23.44 to $37.15

How much rates vary

Facilitymedian $30 · 10th to 90th $19 to $68Professionalmedian $24 · 10th to 90th $19 to $39
$20$50$100$200facility $30professional $24

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
$18.62
Median
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$23.44
Typical High
$33.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$269.15
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$56.23
Typical High
$57.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$29.51
Typical High
$46.77
Medica
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$158.49
Typical High
$158.49
Midlands
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$46.77
Typical High
$60.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$47.86
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$42.66
Typical High
$56.23

Where Nebraska 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.

Nebraska· 28th 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.