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Occlusal X-Ray

Virginia 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?

$15.14

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $14.79 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 6 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$13.49 to $18.20
FacilityA hospital or hospital-owned outpatient department$14.79$9.33 to $19.05

How much rates vary

Facilitymedian $15 · 10th to 90th $6 to $28Professionalmedian $16 · 10th to 90th $12 to $23
$10$100$1K$10Kfacility $15professional $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
$13.49
Median
$18.20
Typical High
$18.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.49
Typical High
$18.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$18.20
Typical High
$25.12
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$22.91
Typical High
$28.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$17.38
Typical High
$21.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$18.20
Typical High
$28.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$12.59
Typical High
$27.54
Sentara
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$14.79
Typical High
$33.88

Where Virginia 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.

Virginia· 18th of 51

$15.14

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.