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Unlisted X-Ray Imaging Study

North Carolina 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 $126 · 10th–90th $45$3390%20%10th90th$126Professionalmedian $724 · 10th–90th $468$7240%50%10th$724$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
$125.89
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$194.98
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$100.00
Typical High
$112.20
Medcost
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$52.48
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$66.07
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59