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Follow-Up Problem Evaluation

California rates for HCPCS D0170

A short follow-up visit to check on a specific problem the dentist has already been treating or watching, such as reassessing a healing area or symptom that hasn't fully resolved. It is not used for a routine check-up or for checking healing right after a surgical procedure, which is handled separately. It's a targeted recheck rather than a full exam.

Rates data updated July 2026.

How much does Follow-Up Problem Evaluation cost?

$21.38

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $25.12 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 9 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$21.38$19.50 to $33.11
FacilityA hospital or hospital-owned outpatient department$25.12$19.95 to $30.90

How much rates vary

Facilitymedian $25 · 10th to 90th $18 to $44Professionalmedian $21 · 10th to 90th $17 to $52
$10$20$50$100$200facility $25professional $21

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
$19.95
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$19.95
Typical High
$25.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$33.11
Typical High
$104.71
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$39.81
Typical High
$74.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$398.11
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$194.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$24.55
Typical High
$36.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$60.26
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$38.02
Typical High
$47.86

Where California sits

The same service costs 5.8 times more in Minnesota than in New Mexico. 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.

California· 16th of 51

$21.38

MN $110NM $19.05

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.