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Unlisted X-Ray Imaging Study

Oklahoma 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?

$79.43

Typical facility fee. In Oklahoma, October 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $61.66 to $102.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $79 · 10th to 90th $50 to $214
$50$100$200facility $79

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
BCBS Oklahoma
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$72.44
Typical High
$102.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$363.08
Typical High
$363.08
Medica
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$186.21
Typical High
$218.78
United
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$141.25
Typical High
$223.87
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$51.29
Typical High
$51.29

Where Oklahoma 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.

Oklahoma· 44th of 51

$79.43

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.