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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 July 2026.

Facilitymedian $200 · 10th–90th $110$2630%10%20%10th90th$200Professionalmedian $724 · 10th–90th $151$7240%50%10th$724$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$199.53
Typical High
$269.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$93.33
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$190.55
Typical High
$234.42