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Unlisted X-Ray Imaging Study

Michigan 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 $126 · 10th–90th $65$1,2590%20%10th90th$126Professionalmedian $263 · 10th–90th $126$7240%10%20%10th90th$263$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$64.57
Median
$125.89
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$724.44
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$602.56
Typical High
$676.08
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$257.04
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$398.11
Typical High
$398.11