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Consultation With Another Dentist Or Doctor

Pennsylvania 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?

$41.69

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $34.67 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$41.69$34.67 to $79.43
FacilityA hospital or hospital-owned outpatient department$34.67$34.67 to $34.67

How much rates vary

Facilitymedian $35 · 10th to 90th $35 to $39Professionalmedian $42 · 10th to 90th $27 to $93
$100$1K$10Kfacility $35professional $42

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
$34.67
Median
$34.67
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$38.90
Typical High
$93.33
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$83.18
Typical High
$83.18
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$81.28
Typical High
$109.65
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$38.90
Typical High
$93.33
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$30.90
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$102.33

Where Pennsylvania 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.

Pennsylvania· 41st of 51

$41.69

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.