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Unlisted X-Ray Imaging Study

Connecticut 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?

$263

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $229 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$263$83.18 to $398
FacilityA hospital or hospital-owned outpatient department$229$209 to $275

How much rates vary

Facilitymedian $229 · 10th to 90th $89 to $513Professionalmedian $263 · 10th to 90th $65 to $54,954
$0.1$1$10$100$1K$10K$100Kfacility $229professional $263

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
Facility
Modifier
Global
Typical Low
$83.18
Median
$229.09
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$263.03
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$239.88
Typical High
$407.38
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$58,884.37
Typical High
$74,131.02
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Connecticut 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.

Connecticut· 19th of 50

$263

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.