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Unlisted X-Ray Imaging Study

Georgia 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?

$251

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $251 for this service. Most negotiated rates run $126 to $302.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $158 · 10th to 90th $55 to $257Professionalmedian $302 · 10th to 90th $126 to $347
$50$100$200$500facility $158professional $302

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$467.74
Typical High
$645.65
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$67.61
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$251.19
Median
$302.00
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$75.86
Typical High
$93.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$213.80
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$85.11
Median
$85.11
Typical High
$141.25
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$47.86
Median
$47.86
Typical High
$50.12

Where Georgia 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.

Georgia· 14th of 51

$251

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.