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Occlusal X-Ray

California rates for HCPCS D0240

An X-ray taken with the film or sensor placed flat on the biting surface of the upper or lower teeth, capturing a wider view of that section of the jaw than a standard single-tooth X-ray. It's often used to look at a broader area at once, such as locating an unerupted tooth, checking the roof or floor of the mouth, or examining young children who can't tolerate other X-ray placements as easily. It shows a different angle than the close-up, single-tooth style of image.

Rates data updated July 2026.

How much does Occlusal X-Ray cost?

$16.22

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $19.05 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 7 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$15.85$13.18 to $34.67
FacilityA hospital or hospital-owned outpatient department$19.05$14.79 to $25.70

How much rates vary

Facilitymedian $19 · 10th to 90th $13 to $891Professionalmedian $16 · 10th to 90th $11 to $62
$10$50$200$1Kfacility $19professional $16

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
$17.78
Median
$17.78
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.49
Typical High
$19.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$18.20
Typical High
$23.44
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,995.26
Typical High
$3,388.44
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$87.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$281.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Providence
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$17.78
Typical High
$27.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$20.42
Typical High
$79.43

Where California sits

The same service costs 5.9 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.

California· 16th of 51

$16.22

MN $66.07VT $11.22

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.