go back

Occlusal X-Ray

Massachusetts 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?

$22.91

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $22.91 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$22.91$13.18 to $38.02
FacilityA hospital or hospital-owned outpatient department$22.91$22.91 to $1,738

How much rates vary

Facilitymedian $23 · 10th to 90th $19 to $2,951Professionalmedian $23 · 10th to 90th $11 to $55
$10$100$1K$10Kfacility $23professional $23

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
$22.91
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.88
Typical High
$22.91
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$891.25
Typical High
$1,737.80
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$33.88
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$2,951.21
Typical High
$8,511.38
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.88
Typical High
$23.99
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$32.36
Typical High
$58.88
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$891.25
Typical High
$1,737.80
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$33.88
Typical High
$281.84

Where Massachusetts 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.

Massachusetts· 6th of 51

$22.91

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.