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Occlusal X-Ray

New Hampshire 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?

$28.84

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $28.84 for this service. Most negotiated rates run $22.91 to $44.67.

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.

How much rates vary

Facilitymedian $17 · 10th to 90th $17 to $18Professionalmedian $29 · 10th to 90th $13 to $58
$10$20$50$100facility $17professional $29

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.49
Typical High
$22.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$22.91
Typical High
$30.20
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$40.74
Typical High
$60.26
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$18.20

Where New Hampshire 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.

New Hampshire· 2nd of 51

$28.84

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.