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Unlisted X-Ray Imaging Study

Nebraska 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?

$191

Typical facility fee. In Nebraska, October 2026.

Insurers have agreed to pay about $191 for this service. Most negotiated rates run $148 to $219.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $191 · 10th to 90th $115 to $407
$100$200facility $191

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
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$199.53
Typical High
$407.38
Medica
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$131.83
Typical High
$147.91
United
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$114.82
Typical High
$147.91

Where Nebraska 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.

Nebraska· 22nd of 51

$191

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.