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Occlusal X-Ray

Washington 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?

$20.42

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $28.84 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 5 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$16.60$13.49 to $22.91
FacilityA hospital or hospital-owned outpatient department$28.84$22.39 to $38.02

How much rates vary

Facilitymedian $29 · 10th to 90th $17 to $1,413Professionalmedian $17 · 10th to 90th $11 to $38
$10$50$200$1K$5Kfacility $29professional $17

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
$20.42
Median
$20.42
Typical High
$20.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.45
Typical High
$20.42
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$31.62
Typical High
$2,041.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$26.92
Typical High
$38.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$50.12
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$28.84
Typical High
$28.84
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74

Where Washington 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.

Washington· 8th of 51

$20.42

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.