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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 October 2026.

How much rates vary

Professionalmedian $148 · 10th to 90th $148 to $166
professional $148

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

Rates by insurance carrier

Insurance Carrier
University Health Alliance
Setting
Professional
Modifier
TC · Technical part
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
University Health Alliance
Setting
Professional
Modifier
None (both parts)
Typical Low
$147.91
Median
$147.91
Typical High
$165.96