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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 October 2026.

How much does Unlisted X-Ray Imaging Study cost?

$79.43

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $269 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$79.43$70.79 to $79.43
FacilityA hospital or hospital-owned outpatient department$269$240 to $339

How much rates vary

Facilitymedian $269 · 10th to 90th $195 to $372Professionalmedian $79 · 10th to 90th $71 to $79
$100$200$500facility $269professional $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
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$467.74
Typical High
$645.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$269.15
Typical High
$331.13
Moda Health
Setting
Facility
Modifier
TC · Technical part
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Moda Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$46.77
Median
$724.44
Typical High
$724.44
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Providence
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$269.15
Typical High
$295.12
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$70.79
Median
$79.43
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$302.00
Typical High
$371.54
United
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$346.74
Typical High
$426.58

Where Oregon 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.

Oregon· 42nd 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.