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Single Tooth X-Ray

Washington 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?

$14.13

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $22.39 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 5 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$11.75$10.47 to $15.49
FacilityA hospital or hospital-owned outpatient department$22.39$14.79 to $24.55

How much rates vary

Facilitymedian $22 · 10th to 90th $12 to $38Professionalmedian $12 · 10th to 90th $8 to $27
$10$20$50$100$200facility $22professional $12

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
$14.13
Median
$14.13
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.22
Typical High
$14.13
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$20.42
Typical High
$257.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$19.05
Typical High
$30.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$50.12
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$24.55
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84

Where Washington 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.

Washington· 10th of 51

$14.13

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.