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Follow-Up Problem Evaluation

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $22.39 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 6 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$27.54$21.38 to $45.71
FacilityA hospital or hospital-owned outpatient department$22.39$20.89 to $28.18

How much rates vary

Facilitymedian $22 · 10th to 90th $18 to $36Professionalmedian $28 · 10th to 90th $17 to $51
$10.0$20.0$50.0$100.0$200.0facility $22professional $28

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
$21.38
Median
$21.38
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.95
Typical High
$24.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$34.67
Typical High
$51.29
Medcost
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$22.39
Typical High
$35.48
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$42.66
Typical High
$58.88
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$194.98
Typical High
$194.98

Where North Carolina sits

The same service costs 5.8 times more in Minnesota than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $27.54 · 5th of 51
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.