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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.

How much does Unlisted X-Ray Imaging Study cost?

$269

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $0.02 from a physician practice, and about $269 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 5 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$0.02$0.02 to $186
FacilityA hospital or hospital-owned outpatient department$269$186 to $355

How much rates vary

Facilitymedian $269 · 10th to 90th $0 to $355Professionalmedian $0 · 10th to 90th $0 to $257
$0.1$1$10$100facility $269professional $0

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Indiana 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.

Indiana· 17th of 50

$269

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.