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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 July 2026.

How much does Unlisted X-Ray Imaging Study cost?

$155

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $155 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. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$87.10 to $166
FacilityA hospital or hospital-owned outpatient department$295$204 to $490

How much rates vary

Facilitymedian $295 · 10th to 90th $132 to $562Professionalmedian $126 · 10th to 90th $50 to $195
$100$200$500facility $295professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$389.05
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$154.88
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$131.83
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79

Where New Jersey sits

The same service costs 23.4 times more in Iowa 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· 33rd of 50

$155

IA $724DE $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.