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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 July 2026.

Facilitymedian $200 · 10th–90th $58$3090%10%10th90th$200Professionalmedian $219 · 10th–90th $30$8,5110%10%20%10th90th$219$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$186.21
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$218.78
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$275.42
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$107.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$309.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$165.96
Typical High
$229.09
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$8,511.38