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Occlusal X-Ray

Iowa 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?

$13.80

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $13.80 for this service. Most negotiated rates run $12.59 to $14.79.

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.

How much rates vary

Facilitymedian $19 · 10th to 90th $14 to $891Professionalmedian $14 · 10th to 90th $11 to $20
$10$20$50$100$200$500$1Kfacility $19professional $14

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
$13.80
Median
$13.80
Typical High
$13.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.80
Typical High
$15.49
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$60.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$23.99
Typical High
$891.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$33.88
Typical High
$281.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$26.30
Typical High
$35.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$35.48
Typical High
$37.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20

Where Iowa 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.

Iowa· 31st of 51

$13.80

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.