go back

Unlisted X-Ray Imaging Study

Hawaii 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 rates vary

Facilitymedian $200 · 10th to 90th $200 to $200Professionalmedian $148 · 10th to 90th $148 to $166
$200facility $200professional $148

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
$199.53
Median
$199.53
Typical High
$199.53
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$165.96