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Unlisted X-Ray Imaging Study

Massachusetts 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?

$138

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $110 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 7 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$263$148 to $263
FacilityA hospital or hospital-owned outpatient department$110$89.13 to $178

How much rates vary

Facilitymedian $110 · 10th to 90th $71 to $617Professionalmedian $263 · 10th to 90th $148 to $724
$0.1$1$10$100$1Kfacility $110professional $263

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
$199.53
Median
$616.60
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$263.03
Typical High
$724.44
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$125.89
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$173.78
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$9,772.37
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$125.89
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$138.04
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$53.70
Typical High
$63.10

Where Massachusetts 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.

Massachusetts· 36th of 50

$138

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.