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Unlisted X-Ray Imaging Study

New York 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 negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $191 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$74.13$74.13 to $372
FacilityA hospital or hospital-owned outpatient department$191$166 to $204

How much rates vary

Facilitymedian $191 · 10th to 90th $141 to $257Professionalmedian $74 · 10th to 90th $50 to $1,995
$100$200$500$1K$2Kfacility $191professional $74

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
$42.66
Median
$48.98
Typical High
$295.12
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$42.66
Typical High
$51.29
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$50.12
Median
$316.23
Typical High
$2,089.30
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$169.82
Typical High
$213.80
CDPHP
Setting
Professional
Modifier
None (both parts)
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$190.55
Typical High
$309.03
Highmark BCBS
Setting
Facility
Modifier
TC · Technical part
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Highmark BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$154.88
Typical High
$257.04
United
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$204.17
Typical High
$251.19
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Univera
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Univera
Setting
Professional
Modifier
None (both parts)
Typical Low
$56.23
Median
$56.23
Typical High
$158.49

Where New York 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 York· 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.