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Unlisted X-Ray Imaging Study

Louisiana 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?

$135

Typical facility fee. In Louisiana, October 2026.

Insurers have agreed to pay about $135 for this service. Most negotiated rates run $91.20 to $178.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $132 · 10th to 90th $68 to $209Professionalmedian $1,023 · 10th to 90th $234 to $1,047
$50$100$200$500$1Kfacility $132professional $1,023

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
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$123.03
Typical High
$194.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$239.88
Typical High
$331.13
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
United
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$131.83
Typical High
$239.88
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,047.13
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$51.29
Typical High
$51.29

Where Louisiana 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.

Louisiana· 34th of 51

$135

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.