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Unlisted X-Ray Imaging Study

Ohio 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?

$148

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $0.02 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$0.02$0.02 to $0.07
FacilityA hospital or hospital-owned outpatient department$158$148 to $158

How much rates vary

Facilitymedian $158 · 10th to 90th $102 to $437Professionalmedian $0 · 10th to 90th $0 to $50
$0.1$1$10$100$1Kfacility $158professional $0

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
$147.91
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$467.74
Typical High
$645.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$72,443.60
Median
$72,443.60
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$302.00
Typical High
$478.63
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$316.23
Typical High
$478.63
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$69.18
Typical High
$208.93

Where Ohio 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.

Ohio· 34th of 50

$148

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.