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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 July 2026.

How much does Follow-Up Problem Evaluation cost?

$19.95

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $23.44 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$19.50$17.78 to $21.38
FacilityA hospital or hospital-owned outpatient department$23.44$19.50 to $30.20

How much rates vary

Facilitymedian $23 · 10th to 90th $17 to $43Professionalmedian $19 · 10th to 90th $16 to $26
$10.0$50.0$200.0$1.0Kfacility $23professional $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
$17.38
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.50
Typical High
$24.55
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$194.98
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$22.91
Typical High
$38.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$28.18
Typical High
$60.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$33.11
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$22.91
Typical High
$38.02
Providence
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$34.67
Typical High
$79.43
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$64.57

Where Texas 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.

Texas $19.95 · 35th 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.