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Consultation With Another Dentist Or Doctor

Illinois rates for HCPCS D9310

An evaluation carried out by a dentist or doctor other than the one who asked for it, to get a second professional view or a diagnosis on a particular problem. The person consulted need not be a specialist; what matters is that they are not the clinician requesting the opinion. It is a visit for assessment and advice, with the findings reported back to the dentist who asked.

Rates data updated July 2026.

How much does Consultation With Another Dentist Or Doctor cost?

$42.66

Typical physician fee. In Illinois, July 2026.

Insurers have agreed to pay about $42.66 for this service. Most negotiated rates run $28.84 to $81.28.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $25 · 10th to 90th $25 to $100Professionalmedian $43 · 10th to 90th $25 to $115
$20$50$100$200facility $25professional $43

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$38.90
Typical High
$93.33
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$147.91
Typical High
$194.98
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$61.66
Typical High
$83.18

Where Illinois sits

The same service costs 10.0 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.

Illinois· 39th of 51

$42.66

MN $295SD $29.51

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.