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Bitewing X-Rays — Four Images

South Dakota rates for HCPCS D0274

A set of four X-ray images taken by biting down on small tabs, covering the back teeth on both the left and right sides of the mouth to check for decay between teeth and around fillings. It gives fuller side-to-side coverage than a two-image bitewing set. These images focus on the crowns of the teeth rather than the full root or jawbone.

Rates data updated October 2026.

How much does Bitewing X-Rays — Four Images cost?

$40.74

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $40.74 for this service. Most negotiated rates run $36.31 to $52.48.

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.

How much rates vary

Facilitymedian $41 · 10th to 90th $22 to $41Professionalmedian $36 · 10th to 90th $24 to $52
$50$100$200facility $41professional $36

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$23.99
Median
$23.99
Typical High
$26.30
Medica
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$40.74
Typical High
$40.74
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$23.44
Median
$36.31
Typical High
$281.84
Midlands
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$44.67
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.91
Median
$22.91
Typical High
$23.44
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$26.92
Median
$26.92
Typical High
$44.67
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$52.48
Median
$52.48
Typical High
$52.48

Where South Dakota sits

The same service costs 20.9 times more in Arizona than in New Jersey. 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 Dakota· 14th of 51

$40.74

AZ $282NJ $13.49

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.