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Follow-Up Problem Evaluation

New York 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?

$20.89

Typical physician fee. In New York, July 2026.

Insurers have agreed to pay about $20.89 for this service. Most negotiated rates run $19.05 to $23.44.

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.

How much rates vary

Facilitymedian $16 · 10th to 90th $14 to $18Professionalmedian $21 · 10th to 90th $17 to $26
$10.0$20.0$50.0$100.0$200.0facility $16professional $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
$14.13
Median
$16.22
Typical High
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$19.50
Typical High
$24.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$22.39
Typical High
$33.11
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$21.38
Typical High
$22.91
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$40.74
Typical High
$47.86
Univera
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$21.38
Typical High
$21.38
Univera
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$21.38
Typical High
$21.88

Where New York 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.

New York $20.89 · 20th 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.