go back

Single Tooth X-Ray

New York 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 New York, July 2026.

Insurers have agreed to pay about $10.47 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $9.33 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$10.72$9.55 to $12.02
FacilityA hospital or hospital-owned outpatient department$9.33$8.71 to $10.23

How much rates vary

Facilitymedian $9 · 10th to 90th $7 to $12Professionalmedian $11 · 10th to 90th $9 to $16
$10$100$1K$10Kfacility $9professional $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
$7.08
Median
$8.71
Typical High
$10.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.23
Typical High
$14.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$11.48
Typical High
$17.78
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$19.05
Typical High
$19.05
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$691.83
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$18.20
Univera
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$11.75
Typical High
$11.75
Univera
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$11.75
Typical High
$19.05

Where New York 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 York· 38th 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.