go back

Occlusal X-Ray

Illinois 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?

$13.49

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $11.22 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 4 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$13.49$12.30 to $16.60
FacilityA hospital or hospital-owned outpatient department$11.22$11.22 to $123

How much rates vary

Facilitymedian $11 · 10th to 90th $11 to $132Professionalmedian $13 · 10th to 90th $11 to $51
$10$20$50$100facility $11professional $13

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
$11.22
Median
$11.22
Typical High
$11.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.18
Typical High
$17.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$151.36
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$63.10
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$39.81

Where Illinois 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.

Illinois· 35th of 51

$13.49

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.