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Unlisted X-Ray Imaging Study

Indiana 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 $269 · 10th–90th $0$3550%50%10th90th$269Professionalmedian $0 · 10th–90th $0$2570%50%90th$0$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$269.15
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.05
CareSource
Setting
Facility
Modifier
Global
Typical Low
$74,131.02
Median
$74,131.02
Typical High
$75,857.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$223.87
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11