go back

Single Tooth X-Ray

California 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 does Single Tooth X-Ray cost?

$11.48

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $12.88 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 7 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$11.48$10.47 to $15.14
FacilityA hospital or hospital-owned outpatient department$12.88$10.47 to $17.38

How much rates vary

Facilitymedian $13 · 10th to 90th $9 to $25Professionalmedian $11 · 10th to 90th $9 to $36
$10$20$50$100facility $13professional $11

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
$11.75
Median
$11.75
Typical High
$13.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.47
Typical High
$14.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$13.18
Typical High
$15.85
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$33.11
Typical High
$57.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$107.15
Typical High
$107.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.75
Typical High
$60.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$12.30
Typical High
$20.42
Providence
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$14.45
Typical High
$79.43

Where California sits

The same service costs 4.8 times more in Minnesota than in Vermont. 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.

California· 21st of 51

$11.48

MN $38.02VT $7.94

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.