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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.

Facilitymedian $83 · 10th–90th $22$2040%10%10th90th$83Professionalmedian $55 · 10th–90th $40$1,0720%20%10th90th$55$20.0$50.0$100.0$200.0$500.0$1.0K

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
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