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Unlisted X-Ray Imaging Study

Mississippi 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?

$195

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $95.50 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$195$195 to $195
FacilityA hospital or hospital-owned outpatient department$95.50$95.50 to $105

How much rates vary

Facilitymedian $95 · 10th to 90th $95 to $115Professionalmedian $195 · 10th to 90th $195 to $234
$20$50$100$200facility $95professional $195

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$104.71
BCBS Mississippi
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$69.18
Typical High
$102.33
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$19.95
Median
$21.38
Typical High
$25.12
United
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$158.49
Typical High
$177.83
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$41.69
Median
$51.29
Typical High
$53.70

Where Mississippi 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.

Mississippi· 20th of 51

$195

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.