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Unlisted X-Ray Imaging Study

New Jersey 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?

$195

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $295 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$115 to $195
FacilityA hospital or hospital-owned outpatient department$295$204 to $380

How much rates vary

Facilitymedian $295 · 10th to 90th $178 to $437Professionalmedian $126 · 10th to 90th $98 to $240
$100$200$500facility $295professional $126

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
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$46.77
Median
$60.26
Typical High
$60.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$288.40
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$323.59
Typical High
$380.19
Horizon BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$97.72
Median
$125.89
Typical High
$239.88
Horizon BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$38.02
Typical High
$72.44
Horizon BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$67.61
Median
$89.13
Typical High
$169.82
United
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$363.08

Where New Jersey 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.

New Jersey· 21st of 51

$195

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.