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Consultation With Another Dentist Or Doctor

Wisconsin 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?

$53.70

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $39.81 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 8 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$53.70$34.67 to $81.28
FacilityA hospital or hospital-owned outpatient department$39.81$27.54 to $81.28

How much rates vary

Facilitymedian $40 · 10th to 90th $23 to $112Professionalmedian $54 · 10th to 90th $25 to $115
$20$50$100$200facility $40professional $54

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
$23.44
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$37.15
Typical High
$89.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$81.28
Typical High
$162.18
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$38.90
Typical High
$95.50
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$41.69
Typical High
$114.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$58.88
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$38.90
Typical High
$95.50
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$66.07
Typical High
$97.72
Quartz
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$281.84
Quartz
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$389.05
Typical High
$389.05
Security Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$158.49
Typical High
$181.97

Where Wisconsin 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.

Wisconsin· 22nd of 51

$53.70

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.