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Occlusal X-Ray

South Carolina 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?

$13.80

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $21.38 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$12.59 to $14.79
FacilityA hospital or hospital-owned outpatient department$21.38$13.49 to $1,905

How much rates vary

Facilitymedian $21 · 10th to 90th $13 to $3,388Professionalmedian $13 · 10th to 90th $12 to $20
$10$50$200$1K$5Kfacility $21professional $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
$12.59
Median
$12.59
Typical High
$12.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.18
Typical High
$18.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,398.83
Typical High
$3,981.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$24.55
Typical High
$41.69
Medcost
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$14.79
Typical High
$26.92
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20

Where South Carolina 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.

South Carolina· 30th of 51

$13.80

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.