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Single Tooth X-Ray

Michigan 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?

$10.47

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $10.47 for this service. Most negotiated rates run $9.33 to $10.72.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10 · 10th to 90th $10 to $10Professionalmedian $10 · 10th to 90th $8 to $13
$10facility $10professional $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
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.47
Typical High
$12.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.96
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.00
Typical High
$14.13
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.96

Where Michigan 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.

Michigan· 39th of 51

$10.47

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.