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Comprehensive Oral Evaluation

North Carolina 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?

$44.67

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $29.51 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$46.77$30.20 to $69.18
FacilityA hospital or hospital-owned outpatient department$29.51$25.70 to $38.02

How much rates vary

Facilitymedian $30 · 10th to 90th $21 to $51Professionalmedian $47 · 10th to 90th $26 to $74
$20$50$100$200$500$1Kfacility $30professional $47

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
$25.70
Median
$25.70
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.70
Typical High
$34.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$57.54
Typical High
$77.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$29.51
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$60.26
Typical High
$77.62
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$281.84

Where North Carolina 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.

North Carolina· 3rd of 51

$44.67

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.