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Comprehensive Oral Evaluation

Pennsylvania 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?

$23.44

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $23.44 from a physician practice, and about $22.91 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$23.44$20.89 to $29.51
FacilityA hospital or hospital-owned outpatient department$22.91$20.89 to $22.91

How much rates vary

Facilitymedian $23 · 10th to 90th $21 to $23Professionalmedian $23 · 10th to 90th $20 to $35
$20$100$500$2Kfacility $23professional $23

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
$20.89
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$22.91
Typical High
$34.67
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$30.90
Typical High
$30.90
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$47.86
Typical High
$63.10
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$22.91
Typical High
$42.66
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$23.44
Typical High
$34.67
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$41.69
Typical High
$70.79

Where Pennsylvania 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.

Pennsylvania· 48th of 51

$23.44

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.