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Unlisted X-Ray Imaging Study

South Carolina 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.

Facilitymedian $214 · 10th–90th $81$6460%10%10th90th$214Professionalmedian $15 · 10th–90th $8$300%10%20%10th90th$15$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$645.65
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$194.98
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$47.86
Typical High
$162.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$15.14
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$81.28
Typical High
$446.68