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Comprehensive Oral Evaluation

Illinois rates for HCPCS D0150

A thorough examination of the teeth, gums, bite, and surrounding oral structures, typically done the first time a patient is seen or when a full reassessment is needed. The dentist reviews health history, checks for decay and gum disease, and often orders X-rays as part of building a complete picture of oral health. It is more extensive than a routine check-up exam.

Rates data updated July 2026.

How much does Comprehensive Oral Evaluation cost?

$25.12

Typical negotiated rate. In Illinois, 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 $170 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$21.38 to $31.62
FacilityA hospital or hospital-owned outpatient department$170$170 to $209

How much rates vary

Facilitymedian $170 · 10th to 90th $20 to $275Professionalmedian $25 · 10th to 90th $19 to $93
$20$50$100$200facility $170professional $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. 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
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$23.99
Typical High
$34.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$275.42
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$128.82
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$83.18
Typical High
$107.15

Where Illinois sits

The same service costs 5.2 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.

Illinois· 41st of 51

$25.12

MN $120VT $22.91

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.