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Comprehensive Oral Evaluation

New York 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?

$30.20

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $19.05 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$30.20$23.44 to $35.48
FacilityA hospital or hospital-owned outpatient department$19.05$19.05 to $21.38

How much rates vary

Facilitymedian $19 · 10th to 90th $19 to $23Professionalmedian $30 · 10th to 90th $21 to $42
$20$50$100$200$500$1K$2Kfacility $19professional $30

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
$19.05
Median
$19.05
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$24.55
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$33.88
Typical High
$43.65
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$4,073.80
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$74.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$44.67
Typical High
$66.07
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$57.54
Typical High
$57.54
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$33.11
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$50.12
Typical High
$83.18
Univera
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$23.44
Typical High
$25.70
Univera
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.30
Typical High
$57.54

Where New York 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.

New York· 14th of 51

$30.20

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.