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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 October 2026.

How much does Follow-Up Problem Evaluation cost?

$32.36

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $32.36 from a physician practice, and about $23.44 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$32.36$23.44 to $33.11
FacilityA hospital or hospital-owned outpatient department$23.44$19.50 to $36.31

How much rates vary

Facilitymedian $23 · 10th to 90th $19 to $10,233Professionalmedian $32 · 10th to 90th $19 to $36
$20$100$500$2K$10Kfacility $23professional $32

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
$19.05
Median
$19.05
Typical High
$23.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$21.38
Typical High
$23.44
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$39.81
CareFirst
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$32.36
Typical High
$37.15
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$23.99
Typical High
$32.36
Medcost
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$20.89
Typical High
$35.48
Medcost
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$14.45
Typical High
$18.62
Sentara
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$23.99
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$20.89
Typical High
$25.12
United
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$35.48
Typical High
$77.62

Where Virginia 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.

Virginia· 19th of 51

$32.36

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.