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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 July 2026.

Facilitymedian $162 · 10th–90th $107$3020%10%20%10th90th$162Professionalmedian $724 · 10th–90th $724$7240%50%100%$724$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$204.17