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Follow-Up Problem Evaluation

Texas 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 October 2026.

How much does Follow-Up Problem Evaluation cost?

$186

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $21.88 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$186$19.50 to $195
FacilityA hospital or hospital-owned outpatient department$21.88$19.95 to $24.55

How much rates vary

Facilitymedian $22 · 10th to 90th $17 to $30Professionalmedian $186 · 10th to 90th $17 to $195
$20$50$100facility $22professional $186

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$17.38
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$18.62
Typical High
$21.38
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$194.98
Moda Health
Setting
Facility
Modifier
None
Typical Low
$19.05
Median
$21.88
Typical High
$30.20
Moda Health
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$17.78
Typical High
$20.89
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Providence
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$22.91
Typical High
$30.90
Providence
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$34.67
Typical High
$79.43
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$40.74
Typical High
$40.74

Where Texas sits

The same service costs 22.9 times more in Texas than in New Jersey. 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.

Texas· 1st of 51

$186

TX $186NJ $8.13

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.