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Full Mouth X-Ray Series

Utah rates for HCPCS D0210

A complete set of individual X-ray images that together cover every tooth, its root, and the surrounding bone throughout the mouth. It gives a much more detailed view than a handful of bitewing images and is typically done for a new patient or repeated periodically to fully assess tooth roots, bone levels, and hidden problems like abscesses. It usually includes both close-up root views and bitewing-style images.

Rates data updated July 2026.

Facilitymedian $46 · 10th–90th $46$460%50%$46Professionalmedian $46 · 10th–90th $40$690%20%10th90th$46$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$45.71
Typical High
$47.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$87.10
Select Health
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$72.44
Typical High
$72.44
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$69.18