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Single Tooth X-Ray

Virginia 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?

$12.88

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $11.48 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$15.14$10.47 to $15.49
FacilityA hospital or hospital-owned outpatient department$11.48$7.94 to $14.79

How much rates vary

Facilitymedian $11 · 10th to 90th $5 to $21Professionalmedian $15 · 10th to 90th $9 to $20
$10$100$1K$10Kfacility $11professional $15

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
$11.48
Median
$11.48
Typical High
$11.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.47
Typical High
$11.75
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.49
Typical High
$22.39
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$15.85
Typical High
$19.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.79
Typical High
$18.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$12.02
Typical High
$20.42
Sentara
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$10.47
Typical High
$22.91
Sentara
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$12.30
Typical High
$28.84

Where Virginia 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.

Virginia· 11th of 51

$12.88

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.