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Tooth Nerve Vitality Test

California rates for HCPCS D0460

A simple in-office test to check whether the nerve and blood supply inside a tooth are still alive and healthy, often using a cold stimulus, an electrical tester, or another method to see how the tooth responds. It helps determine whether a tooth needs root canal treatment or other care.

Rates data updated July 2026.

How much does Tooth Nerve Vitality Test cost?

$21.38

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $21.38 for this service. Most negotiated rates run $18.20 to $27.54.

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.

How much rates vary

Facilitymedian $28 · 10th to 90th $16 to $891Professionalmedian $21 · 10th to 90th $16 to $45
$20$50$100$200$500$1Kfacility $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
Professional
Modifier
Global
Typical Low
$16.22
Median
$20.89
Typical High
$27.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$23.99
Typical High
$30.20
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$28.84
Typical High
$75.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$281.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$26.92
Typical High
$43.65

Where California sits

The same service costs 6.9 times more in Minnesota than in South Dakota. 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.

California· 16th of 51

$21.38

MN $75.86SD $10.96

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.