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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.

How much does Unlisted X-Ray Imaging Study cost?

$129

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $126 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 4 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$229 to $468
FacilityA hospital or hospital-owned outpatient department$126$91.20 to $132

How much rates vary

Facilitymedian $126 · 10th to 90th $65 to $1,259Professionalmedian $263 · 10th to 90th $126 to $724
$100$200$500$1Kfacility $126professional $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
$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

Where Michigan 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.

Michigan· 37th of 50

$129

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.