go back

Unlisted X-Ray Imaging Study

Colorado 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?

$162

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $129 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$347$120 to $5,012
FacilityA hospital or hospital-owned outpatient department$129$117 to $263

How much rates vary

Facilitymedian $129 · 10th to 90th $89 to $380Professionalmedian $347 · 10th to 90th $98 to $10,000
$100$200$500$1K$2K$5K$10Kfacility $129professional $347

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$162.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$120.23
Typical High
$162.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$125.89
Typical High
$354.81
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Select Health
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$10,000.00
United
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$398.11
Typical High
$457.09
United
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01

Where Colorado 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.

Colorado· 31st of 51

$162

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.