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Consultation With Another Dentist Or Doctor

North Carolina 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?

$100

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $50.12 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$102$47.86 to $129
FacilityA hospital or hospital-owned outpatient department$50.12$41.69 to $87.10

How much rates vary

Facilitymedian $50 · 10th to 90th $32 to $126Professionalmedian $102 · 10th to 90th $35 to $200
$50$100$200facility $50professional $102

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
$41.69
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$41.69
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$107.15
Typical High
$204.17
Medcost
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$50.12
Typical High
$117.49
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$75.86
Typical High
$114.82
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$389.05
Typical High
$389.05

Where North Carolina 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.

North Carolina· 4th of 51

$100

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.