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Occlusal X-Ray

New York 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?

$15.85

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $11.22 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 7 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$15.85$13.18 to $19.05
FacilityA hospital or hospital-owned outpatient department$11.22$11.22 to $12.02

How much rates vary

Facilitymedian $11 · 10th to 90th $9 to $14Professionalmedian $16 · 10th to 90th $11 to $23
$10$100$1K$10Kfacility $11professional $16

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
$11.22
Typical High
$12.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.18
Typical High
$22.39
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$17.78
Typical High
$28.18
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$4,073.80
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$22.91
Typical High
$22.91
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$27.54
Univera
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$14.13
Typical High
$14.13
Univera
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.45
Typical High
$22.91

Where New York 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 York· 17th of 51

$15.85

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.