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Unlisted X-Ray Imaging Study

Minnesota 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?

$263

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $263 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$54.95$53.70 to $234
FacilityA hospital or hospital-owned outpatient department$263$102 to $490

How much rates vary

Facilitymedian $263 · 10th to 90th $102 to $490Professionalmedian $55 · 10th to 90th $50 to $646
$100$200$500$1Kfacility $263professional $55

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$263.03
Typical High
$489.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$467.74
Typical High
$645.65
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$218.78
Typical High
$389.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Medica
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$229.09
Typical High
$912.01
Medica
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$53.70
Typical High
$54.95
United
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$239.88
Typical High
$309.03

Where Minnesota 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.

Minnesota· 11th of 51

$263

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.