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Unlisted X-Ray Imaging Study

Nationwide rates for HCPCS 76499

Covers a diagnostic imaging study using X-rays that has no standard named entry of its own. It is used when the examination performed does not match any of the established named X-ray studies, so the doctor supplies a written description of exactly what was done and why.

Rates data updated July 2026.

Facilitymedian $158 · 10th–90th $63$4270%10%20%10th90th$158Professionalmedian $263 · 10th–90th $40$7240%20%10th90th$263$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$199.53
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$724.44
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$173.78
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$204.17
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$162.18
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$128.82
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$64.57
Typical High
$186.21