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Unlisted X-Ray Imaging Study

Oregon 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?

$107

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $240 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 7 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$79.43$79.43 to $724
FacilityA hospital or hospital-owned outpatient department$240$107 to $295

How much rates vary

Facilitymedian $240 · 10th to 90th $60 to $363Professionalmedian $79 · 10th to 90th $71 to $724
$100$1K$10K$100K$1Mfacility $240professional $79

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$239.88
Typical High
$302.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$63.10
Typical High
$426.58
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$218.78
Typical High
$218.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$107.15
Typical High
$426.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$79.43
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$269.15
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03

Where Oregon 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.

Oregon· 38th of 50

$107

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.