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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 July 2026.

How much does Unlisted X-Ray Imaging Study cost?

$162

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $162 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$162$120 to $162
FacilityA hospital or hospital-owned outpatient department$162$75.86 to $182

How much rates vary

Facilitymedian $162 · 10th to 90th $49 to $282Professionalmedian $162 · 10th to 90th $98 to $479
$50$100$200$500$1K$2K$5Kfacility $162professional $162

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. 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
Global
Typical Low
$120.23
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$162.18
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$354.81
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$309.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$912.01

Where Colorado 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.

Colorado· 30th of 50

$162

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.