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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.

Facilitymedian $110 · 10th–90th $71$6170%20%10th90th$110Professionalmedian $263 · 10th–90th $148$7240%20%10th90th$263$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$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