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Unlisted X-Ray Imaging Study

Montana 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?

$309

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $263 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$724$263 to $724
FacilityA hospital or hospital-owned outpatient department$263$158 to $64,565

How much rates vary

Facilitymedian $263 · 10th to 90th $81 to $81,283Professionalmedian $724 · 10th to 90th $85 to $724
$100$1K$10K$100Kfacility $263professional $724

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$263.03
Typical High
$263.03
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$263.03
Typical High
$263.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$107.15
Typical High
$309.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$85.11

Where Montana 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.

Montana· 13th of 50

$309

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.