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Single Tooth X-Ray

Arizona rates for HCPCS D0220

One X-ray image showing a single tooth from crown to root tip along with the surrounding bone, used to look closely at a specific tooth's root, a possible infection, or other localized issue. It is the first image taken in this style; additional images of other teeth are counted separately. It is more focused than a bitewing, which only shows the upper portion of several teeth.

Rates data updated July 2026.

How much rates vary

Facilitymedian $11 · 10th to 90th $7 to $21Professionalmedian $10 · 10th to 90th $9 to $13
$10$20$50facility $11professional $10

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
Professional
Modifier
Global
Typical Low
$8.51
Median
$10.47
Typical High
$12.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$11.48
Typical High
$21.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86