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Unlisted X-Ray Imaging Study

Arizona 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 October 2026.

How much does Unlisted X-Ray Imaging Study cost?

$39.81

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $39.81 for this service. Most negotiated rates run $31.62 to $87.10.

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 $110 · 10th to 90th $21 to $339Professionalmedian $32 · 10th to 90th $32 to $63
$20$50$100$200$500facility $110professional $32

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$467.74
Typical High
$645.65
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$41.69
Median
$47.86
Typical High
$63.10
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$19.05
Median
$81.28
Typical High
$123.03
BCBS Arizona
Setting
Professional
Modifier
None (both parts)
Typical Low
$31.62
Median
$31.62
Typical High
$60.26
BCBS Arizona
Setting
Professional
Modifier
26 · Professional part
Typical Low
$9.55
Median
$9.55
Typical High
$18.20
BCBS Arizona
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.39
Median
$22.39
Typical High
$42.66
Cigna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$269.15
Typical High
$380.19
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$46.77
Median
$46.77
Typical High
$912.01

Where Arizona sits

The same service costs 20.9 times more in New Hampshire than in Delaware. 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.

Arizona· 50th of 51

$39.81

NH $646DE $30.90

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.