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Occlusal X-Ray

Minnesota 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?

$66.07

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $132 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 3 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$64.57$16.22 to $66.07
FacilityA hospital or hospital-owned outpatient department$132$21.38 to $263

How much rates vary

Facilitymedian $132 · 10th to 90th $15 to $468Professionalmedian $65 · 10th to 90th $13 to $66
$10$50$200$1K$5Kfacility $132professional $65

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
$14.79
Median
$14.79
Typical High
$14.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.45
Typical High
$17.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$208.93
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$66.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$20.42
Typical High
$30.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84

Where Minnesota 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.

Minnesota· 1st of 51

$66.07

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.