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Follow-Up Problem Evaluation

Pennsylvania 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?

$19.05

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $17.78 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$19.05$17.78 to $20.89
FacilityA hospital or hospital-owned outpatient department$17.78$17.78 to $17.78

How much rates vary

Facilitymedian $18 · 10th to 90th $18 to $19Professionalmedian $19 · 10th to 90th $15 to $25
$10.0$100.0$1.0K$10.0Kfacility $18professional $19

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
$17.78
Median
$17.78
Typical High
$19.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.05
Typical High
$24.55
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
$14.79
Median
$15.14
Typical High
$15.14
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.50
Typical High
$24.55
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$24.55
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$34.67
Typical High
$51.29

Where Pennsylvania 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.

Pennsylvania $19.05 · 49th 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.