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Unlisted X-Ray Imaging Study

Idaho 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?

$186

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $209 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.20$30.20 to $145
FacilityA hospital or hospital-owned outpatient department$209$151 to $251

How much rates vary

Facilitymedian $209 · 10th to 90th $98 to $309Professionalmedian $30 · 10th to 90th $30 to $245
$50$100$200$500$1K$2K$5Kfacility $209professional $30

Distribution of negotiated rates across all payers (price axis is log-scale). 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
$47.86
Median
$51.29
Typical High
$51.29
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$194.98
Typical High
$309.03
BCBS Idaho
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$144.54
Typical High
$245.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$275.42
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Moda Health
Setting
Facility
Modifier
TC · Technical part
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
MountainHealth Co-op
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$223.87
Typical High
$316.23
Select Health
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$165.96
Typical High
$218.78
Select Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$5,011.87
Median
$7,585.78
Typical High
$8,511.38

Where Idaho 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.

Idaho· 24th of 51

$186

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.