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Full Mouth X-Ray Series

Wisconsin 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 October 2026.

How much does Full Mouth X-Ray Series cost?

$112

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $45.71 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$112$51.29 to $209
FacilityA hospital or hospital-owned outpatient department$45.71$38.90 to $54.95

How much rates vary

Facilitymedian $46 · 10th to 90th $39 to $59Professionalmedian $112 · 10th to 90th $39 to $316
$50$100$200facility $46professional $112

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$38.90
Median
$38.90
Typical High
$199.53
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$48.98
Median
$112.20
Typical High
$323.59
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$17.78
Median
$41.69
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.90
Median
$72.44
Typical High
$199.53
DeanCare
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$54.95
Typical High
$102.33
DeanCare
Setting
Professional
Modifier
None (both parts)
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Medica
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$54.95
Typical High
$102.33
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Prevea360
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$54.95
Typical High
$102.33
Prevea360
Setting
Professional
Modifier
None (both parts)
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Quartz
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$102.33
Typical High
$154.88
Security Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$107.15
Median
$107.15
Typical High
$114.82

Where Wisconsin sits

The same service costs 10.5 times more in Arizona than in West Virginia. 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· 9th of 51

$112

AZ $316WV $30.20

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.