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Unlisted X-Ray Imaging Study

Missouri 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 $110 · 10th–90th $69$3630%20%10th90th$110Professionalmedian $105 · 10th–90th $83$7240%20%40%10th90th$105$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
$104.71
Median
$104.71
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$239.88
Typical High
$338.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$234.42
Typical High
$562.34
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$74.13
Typical High
$177.83