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Limited Problem-Focused Oral Evaluation

Texas 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?

$36.31

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $28.84 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$36.31$23.99 to $158
FacilityA hospital or hospital-owned outpatient department$28.84$25.70 to $36.31

How much rates vary

Facilitymedian $29 · 10th to 90th $22 to $891Professionalmedian $36 · 10th to 90th $20 to $204
$20$50$100$200$500$1Kfacility $29professional $36

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
$20.42
Median
$21.88
Typical High
$21.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$25.12
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$891.25
Typical High
$891.25
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$204.17
Typical High
$204.17
Moda Health
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$28.18
Typical High
$38.02
Moda Health
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$25.12
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Providence
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$28.84
Typical High
$38.02
Providence
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$40.74
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$47.86
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$40.74
Typical High
$40.74

Where Texas 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.

Texas· 25th of 51

$36.31

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.