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Occlusal X-Ray

New Jersey 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 rates vary

Facilitymedian $9 · 10th to 90th $9 to $1,288Professionalmedian $13 · 10th to 90th $11 to $18
$10$20$50$100$200$500$1Kfacility $9professional $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
$8.51
Median
$8.51
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.49
Typical High
$18.20
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$33.11