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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 July 2026.

How much does Unlisted X-Ray Imaging Study cost?

$209

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $257 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 5 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$56.23$53.70 to $646
FacilityA hospital or hospital-owned outpatient department$257$166 to $380

How much rates vary

Facilitymedian $257 · 10th to 90th $126 to $724Professionalmedian $56 · 10th to 90th $54 to $724
$50$100$200$500$1Kfacility $257professional $56

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
$213.80
Median
$724.44
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$56.23
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$234.42
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$204.17
Typical High
$870.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$53.70
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$223.87
Typical High
$309.03

Where Minnesota 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.

Minnesota· 23rd of 50

$209

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.