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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 July 2026.

How much does Unlisted X-Ray Imaging Study cost?

$224

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $204 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 4 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$302$251 to $724
FacilityA hospital or hospital-owned outpatient department$204$72.44 to $224

How much rates vary

Facilitymedian $204 · 10th to 90th $55 to $912Professionalmedian $302 · 10th to 90th $126 to $724
$0.1$1$10$100$1Kfacility $204professional $302

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
$204.17
Median
$223.87
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$724.44
Typical High
$724.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$251.19
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$199.53
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$218.78
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$50.12

Where Georgia 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.

Georgia· 21st of 50

$224

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.