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Single Tooth X-Ray

New Hampshire 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?

$18.62

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $18.62 for this service. Most negotiated rates run $14.79 to $28.84.

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 $17 · 10th to 90th $17 to $18Professionalmedian $19 · 10th to 90th $10 to $37
$10$20$50facility $17professional $19

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$10.23
Typical High
$14.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.14
Typical High
$19.05
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$26.30
Typical High
$38.90
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$18.20

Where New Hampshire 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.

New Hampshire· 2nd of 51

$18.62

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.