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Comprehensive Oral Evaluation

Massachusetts 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?

$41.69

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $891 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 8 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$38.02$24.55 to $70.79
FacilityA hospital or hospital-owned outpatient department$891$41.69 to $3,020

How much rates vary

Facilitymedian $891 · 10th to 90th $39 to $3,548Professionalmedian $38 · 10th to 90th $21 to $107
$20$50$100$200$500$1K$2Kfacility $891professional $38

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
$41.69
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.70
Typical High
$42.66
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$891.25
Typical High
$2,344.23
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$67.61
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,090.30
Typical High
$3,715.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$83.18
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$44.67
Typical High
$87.10
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$34.67
Typical High
$38.90
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$77.62
Typical High
$112.20
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$891.25
Typical High
$2,344.23
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$67.61
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$58.88
Typical High
$87.10

Where Massachusetts 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.

Massachusetts· 5th of 51

$41.69

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.