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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 October 2026.

How much does Unlisted X-Ray Imaging Study cost?

$132

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $129 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$178$100 to $398
FacilityA hospital or hospital-owned outpatient department$129$102 to $234

How much rates vary

Facilitymedian $129 · 10th to 90th $78 to $355Professionalmedian $178 · 10th to 90th $33 to $2,512
$50$200$1K$5Kfacility $129professional $178

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
Facility
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$288.40
Typical High
$645.65
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$46.77
Median
$51.29
Typical High
$63.10
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$117.49
Typical High
$151.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$204.17
Typical High
$794.33
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$46.77
Median
$46.77
Typical High
$10,000.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$151.36
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.11
Typical High
$2,511.89
United
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$234.42
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$398.11
Median
$398.11
Typical High
$398.11

Where Illinois 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.

Illinois· 35th of 51

$132

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.