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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.

How much does Unlisted X-Ray Imaging Study cost?

$105

Typical facility fee. In Missouri, July 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $83.18 to $363.

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.

How much rates vary

Facilitymedian $110 · 10th to 90th $69 to $363Professionalmedian $105 · 10th to 90th $83 to $724
$50$100$200$500facility $110professional $105

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
$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

Where Missouri 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.

Missouri· 40th of 50

$105

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.