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Comprehensive Periodontal Evaluation

Texas rates for HCPCS D0180

A detailed examination focused specifically on the gums and the bone and tissue that support the teeth, including measuring the depth of the space between gum and tooth around each tooth. It is used for patients who show signs of gum disease or who have risk factors for it, such as certain medical conditions or a smoking history. It goes beyond what is checked in a routine general exam.

Rates data updated July 2026.

How much does Comprehensive Periodontal Evaluation cost?

$25.12

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $32.36 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$25.12$21.38 to $28.18
FacilityA hospital or hospital-owned outpatient department$32.36$25.12 to $41.69

How much rates vary

Facilitymedian $32 · 10th to 90th $21 to $59Professionalmedian $25 · 10th to 90th $20 to $36
$20$50$100$200facility $32professional $25

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
$21.38
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$24.55
Typical High
$34.67
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$199.53
Typical High
$199.53
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$32.36
Typical High
$51.29
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$45.71
Typical High
$60.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$32.36
Typical High
$51.29
Providence
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$45.71
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$85.11

Where Texas sits

The same service costs 9.3 times more in Minnesota than in Delaware. 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.

Texas· 39th of 51

$25.12

MN $214DE $22.91

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.