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Follow-Up Problem Evaluation

Washington 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?

$21.38

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $27.54 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$20.89$17.78 to $25.70
FacilityA hospital or hospital-owned outpatient department$27.54$18.20 to $43.65

How much rates vary

Facilitymedian $28 · 10th to 90th $13 to $52Professionalmedian $21 · 10th to 90th $15 to $37
$10$20$50$100$200$500facility $28professional $21

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
$25.70
Median
$25.70
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.95
Typical High
$25.70
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$24.55
Typical High
$53.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$23.44
Typical High
$47.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$44.67
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$43.65
Typical High
$44.67
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74

Where Washington sits

The same service costs 5.8 times more in Minnesota than in New Mexico. 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.

Washington· 12th of 51

$21.38

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.