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Unlisted X-Ray Imaging Study

Illinois 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.

How much does Unlisted X-Ray Imaging Study cost?

$81.28

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $79.43 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$120 to $347
FacilityA hospital or hospital-owned outpatient department$79.43$64.57 to $148

How much rates vary

Facilitymedian $79 · 10th to 90th $50 to $347Professionalmedian $200 · 10th to 90th $33 to $646
$50$200$1K$5Kfacility $79professional $200

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$467.74
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$114.82
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$239.88
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$10,000.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$398.11

Where Illinois sits

The same service costs 23.4 times more in Iowa 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.

Illinois· 43rd of 50

$81.28

IA $724DE $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.