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Unlisted X-Ray Imaging Study

New Hampshire 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 $724 · 10th–90th $363$2,7540%20%10th90th$724Professionalmedian $148 · 10th–90th $148$2630%20%40%90th$148$200.0$500.0$1.0K$2.0K$5.0K

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
Facility
Modifier
Global
Typical Low
$363.08
Median
$691.83
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$524.81
Typical High
$724.44
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$3,981.07
Typical High
$5,754.40