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Unlisted X-Ray Imaging Study

Iowa 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?

$166

Typical facility fee. In Iowa, October 2026.

Insurers have agreed to pay about $166 for this service. Most negotiated rates run $93.33 to $214.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $200 · 10th to 90th $115 to $269Professionalmedian $93 · 10th to 90th $44 to $200
$50$100$200facility $200professional $93

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
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$41.69
Median
$51.29
Typical High
$63.10
Cigna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$45.71
Typical High
$204.17
Hally Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$186.21
Typical High
$269.15
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$43.65
Median
$93.33
Typical High
$199.53
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Midlands
Setting
Facility
Modifier
TC · Technical part
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$45.71
Typical High
$204.17
United
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$218.78
Typical High
$275.42

Where Iowa 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.

Iowa· 30th of 51

$166

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.