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Single Tooth X-Ray

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $10.47 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $10.72 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$10.23$9.33 to $11.22
FacilityA hospital or hospital-owned outpatient department$10.72$10.72 to $10.72

How much rates vary

Facilitymedian $11 · 10th to 90th $11 to $5,012Professionalmedian $10 · 10th to 90th $9 to $13
$10$100$1K$10Kfacility $11professional $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
$10.72
Median
$10.72
Typical High
$10.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$10.23
Typical High
$12.02
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.00
Typical High
$10.00
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$17.78
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$19.50
Typical High
$10,232.93
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.47
Typical High
$12.02
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$14.13

Where Pennsylvania 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.

Pennsylvania· 37th 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.