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Occlusal X-Ray

Nebraska 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?

$13.18

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $28.84 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$13.18$10.96 to $13.80
FacilityA hospital or hospital-owned outpatient department$28.84$18.20 to $100

How much rates vary

Facilitymedian $29 · 10th to 90th $13 to $209Professionalmedian $13 · 10th to 90th $11 to $32
$10$20$50$100$200$500$1Kfacility $29professional $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
$10.96
Median
$10.96
Typical High
$10.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$13.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$32.36
Typical High
$32.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$18.62
Typical High
$891.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$281.84
Typical High
$281.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$25.12
Typical High
$38.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.70
Typical High
$35.48

Where Nebraska 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.

Nebraska· 45th of 51

$13.18

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.