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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 July 2026.

How much does Unlisted X-Ray Imaging Study cost?

$158

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $158 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 8 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$83.18$83.18 to $479
FacilityA hospital or hospital-owned outpatient department$158$138 to $195

How much rates vary

Facilitymedian $158 · 10th to 90th $43 to $219Professionalmedian $83 · 10th to 90th $65 to $724
$0.1$1$10$100$1K$10Kfacility $158professional $83

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
$154.88
Median
$158.49
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$371.54
Typical High
$2,344.23
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$194.98
Typical High
$309.03
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$257.04
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$173.78
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$70.79
Univera
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$0.30
Univera
Setting
Professional
Modifier
Global
Typical Low
$0.10
Median
$0.30
Typical High
$151.36

Where New York 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 York· 31st of 50

$158

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.