<prompt> Human: I received a comprehensive periodontal evaluation at an out-of-network dentist office in which the dentist checked bleeding and recession in my gums for 10 minutes. No machines were used. At the end of the visit, I was charged 174. I paid 34.80 my insurance was to cover 80 for out-of-network and Idecided to get a second opinion and alternative treatment options at a more affordable dentist. I decided I would never come back to this dentist office so I didnt bother negotiating or fighting the bill - it just didnt seem worth the hassle.Now my insurance is saying it will only pay 46.50, which is the average cost of a comprehensive periodontal evaluation in my geographical area. I still have to pay the remaining 92.80 amount.Im a college student with a limited budget and Id rather not pay this extra 90, how should I go about to fight this? Should I be negotiatingfighting with the dentist office for overcharging me or fight the insurance company?  <response>: You should not have gone to an out of network dentist and failed to ask the costs upfront. The insurance company is not required to pay to send you anywhere you wish to go. Consider this a life lesson, pay it and move on. 