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3D Scan of Both Jaws

Michigan rates for HCPCS D0367

A three-dimensional imaging scan that captures both the upper and lower jaw in a single pass, giving a detailed view of teeth, bone, and surrounding structures from multiple angles. It provides more detail than standard flat X-rays and is often used to plan complex treatment such as implants, extractions, or evaluating the jaw joints.

Rates data updated July 2026.

How much rates vary

Facilitymedian $174 · 10th to 90th $174 to $174Professionalmedian $182 · 10th to 90th $129 to $224
$200facility $174professional $182

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
$173.78
Median
$173.78
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$181.97
Typical High
$223.87
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$223.87