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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.

Facilitymedian $257 · 10th–90th $126$7240%5%10%10th90th$257Professionalmedian $56 · 10th–90th $54$7240%20%10th90th$56$50.0$100.0$200.0$500.0$1.0K

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
$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