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Follow-Up Problem Evaluation

Virginia 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?

$22.91

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.91 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 7 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$22.91$19.05 to $33.11
FacilityA hospital or hospital-owned outpatient department$23.44$20.42 to $28.84

How much rates vary

Facilitymedian $23 · 10th to 90th $18 to $37Professionalmedian $23 · 10th to 90th $17 to $40
$10.0$100.0$1.0Kfacility $23professional $23

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
$19.05
Median
$19.05
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.50
Typical High
$23.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.88
Typical High
$57.54
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$40.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$37.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$23.44
Typical High
$36.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$18.62
Sentara
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$23.99
Typical High
$43.65
Sentara
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$23.99
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$35.48
Typical High
$77.62

Where Virginia 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.

Virginia $22.91 · 9th 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.