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Single Tooth X-Ray

Indiana 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?

$11.22

Typical facility fee. In Indiana, July 2026.

Insurers have agreed to pay about $11.22 for this service. Most negotiated rates run $9.55 to $14.13.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $269 · 10th to 90th $14 to $355Professionalmedian $11 · 10th to 90th $9 to $17
$10$20$50$100$200facility $269professional $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
$8.71
Median
$8.71
Typical High
$40.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.23
Typical High
$13.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$269.15
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$15.49
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$8.91
Typical High
$8.91

Where Indiana 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.

Indiana· 26th of 51

$11.22

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.