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Single Tooth X-Ray

Massachusetts 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?

$15.14

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $20.42 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 6 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$15.14$10.47 to $26.30
FacilityA hospital or hospital-owned outpatient department$20.42$14.79 to $87.10

How much rates vary

Facilitymedian $20 · 10th to 90th $15 to $2,951Professionalmedian $15 · 10th to 90th $9 to $37
$10$100$1K$10Kfacility $20professional $15

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
$14.79
Median
$14.79
Typical High
$14.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$10.47
Typical High
$23.99
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$75.86
Typical High
$87.10
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$22.39
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$2,951.21
Typical High
$8,511.38
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$11.48
Typical High
$20.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$20.89
Typical High
$37.15
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$75.86
Typical High
$87.10
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$22.39
Typical High
$75.86

Where Massachusetts 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.

Massachusetts· 4th of 51

$15.14

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.