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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 July 2026.

How much does Unlisted X-Ray Imaging Study cost?

$75.86

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $83.18 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$54.95$43.65 to $724
FacilityA hospital or hospital-owned outpatient department$83.18$60.26 to $145

How much rates vary

Facilitymedian $83 · 10th to 90th $22 to $204Professionalmedian $55 · 10th to 90th $40 to $1,072
$20$50$100$200$500$1Kfacility $83professional $55

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
Professional
Modifier
Global
Typical Low
$40.74
Median
$54.95
Typical High
$1,071.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$77.62
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$39.81
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$204.17
Typical High
$288.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$52.48
Typical High
$107.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$81.28
Typical High
$154.88

Where Arizona sits

The same service costs 23.4 times more in Iowa 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· 46th of 50

$75.86

IA $724DE $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.