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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 October 2026.

How much does Unlisted X-Ray Imaging Study cost?

$282

Typical facility fee. In Missouri, October 2026.

Insurers have agreed to pay about $282 for this service. Most negotiated rates run $200 to $355.

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.

How much rates vary

Facilitymedian $282 · 10th to 90th $166 to $417Professionalmedian $1,622 · 10th to 90th $1,622 to $1,622
$100$200$500$1Kfacility $282professional $1,622

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
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$51.29
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$44.67
Median
$53.70
Typical High
$93.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$281.84
Typical High
$416.87
Medica
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$275.42
Typical High
$562.34
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
United
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$288.40

Where Missouri 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.

Missouri· 6th of 51

$282

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.