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Follow-Up Problem Evaluation

Massachusetts 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?

$27.54

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $27.54 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$25.70$19.05 to $46.77
FacilityA hospital or hospital-owned outpatient department$27.54$27.54 to $105

How much rates vary

Facilitymedian $28 · 10th to 90th $22 to $219Professionalmedian $26 · 10th to 90th $17 to $68
$10$20$50$100$200facility $28professional $26

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
$27.54
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.50
Typical High
$27.54
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$141.25
Typical High
$218.78
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$47.86
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$42.66
Typical High
$87.10
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$33.11
Typical High
$34.67
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$52.48
Typical High
$74.13
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$141.25
Typical High
$218.78
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$47.86
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$38.90
Typical High
$44.67

Where Massachusetts 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.

Massachusetts· 6th of 51

$27.54

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.