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3D Scan of Both Jaws

Tennessee 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 $1,122 · 10th to 90th $135 to $1,122Professionalmedian $145 · 10th to 90th $117 to $219
$100$200$500$1Kfacility $1,122professional $145

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
$87.10
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$218.78
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,737.80
Typical High
$1,737.80