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Single Tooth X-Ray

Nebraska 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 Nebraska, 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 $19.50 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 4 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$9.33 to $11.48
FacilityA hospital or hospital-owned outpatient department$19.50$13.49 to $85.11

How much rates vary

Facilitymedian $19 · 10th to 90th $9 to $115Professionalmedian $11 · 10th to 90th $9 to $20
$10$20$50$100$200facility $19professional $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
$9.33
Median
$9.33
Typical High
$9.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.47
Typical High
$11.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$21.38
Typical High
$21.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$15.49
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$75.86
Typical High
$75.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$18.62
Typical High
$30.20
Midlands
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.95
Typical High
$28.18

Where Nebraska 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.

Nebraska· 18th 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.