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Follow-Up Problem Evaluation

Wisconsin 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 Wisconsin, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $21.38 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$21.38$18.62 to $33.88
FacilityA hospital or hospital-owned outpatient department$21.38$18.20 to $27.54

How much rates vary

Facilitymedian $21 · 10th to 90th $17 to $47Professionalmedian $21 · 10th to 90th $17 to $52
$10$20$50$100$200facility $21professional $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
$17.38
Median
$17.38
Typical High
$17.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.50
Typical High
$23.99
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$34.67
Typical High
$69.18
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$21.38
Typical High
$41.69
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$21.38
Typical High
$43.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$21.38
Typical High
$41.69
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$48.98
Typical High
$72.44
Quartz
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$218.78
Quartz
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$194.98
Typical High
$194.98
Security Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.02
Typical High
$43.65

Where Wisconsin 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.

Wisconsin· 14th 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.