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Consultation With Another Dentist Or Doctor

New York 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?

$81.28

Typical physician fee. In New York, July 2026.

Insurers have agreed to pay about $81.28 for this service. Most negotiated rates run $41.69 to $93.33.

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 $32 · 10th to 90th $32 to $59Professionalmedian $81 · 10th to 90th $32 to $100
$50$100$200facility $32professional $81

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
$31.62
Median
$31.62
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$47.86
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$91.20
Typical High
$100.00
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$30.20
Typical High
$30.20
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$93.33
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$89.13
Univera
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$28.84
Typical High
$67.61
Univera
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$28.84
Typical High
$41.69

Where New York 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.

New York· 7th of 51

$81.28

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.