go back

Single Tooth X-Ray

Minnesota 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?

$38.02

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $115 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 3 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$38.02$12.59 to $38.02
FacilityA hospital or hospital-owned outpatient department$115$13.80 to $257

How much rates vary

Facilitymedian $115 · 10th to 90th $11 to $389Professionalmedian $38 · 10th to 90th $10 to $38
$10$20$50$100$200$500facility $115professional $38

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
$12.59
Median
$12.59
Typical High
$12.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.22
Typical High
$13.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$194.98
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$38.02
Typical High
$38.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$13.80
Typical High
$22.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86

Where Minnesota 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.

Minnesota· 1st of 51

$38.02

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.