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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 October 2026.

How much does Unlisted X-Ray Imaging Study cost?

$145

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $240 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$21.88$14.45 to $30.20
FacilityA hospital or hospital-owned outpatient department$240$166 to $295

How much rates vary

Facilitymedian $240 · 10th to 90th $115 to $389Professionalmedian $22 · 10th to 90th $8 to $251
$10$20$50$100$200$500facility $240professional $22

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
TC · Technical part
Typical Low
$41.69
Median
$51.29
Typical High
$51.29
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$223.87
Typical High
$302.00
BCBS South Carolina
Setting
Facility
Modifier
TC · Technical part
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$354.81
Typical High
$562.34
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Medcost
Setting
Professional
Modifier
None (both parts)
Typical Low
$251.19
Median
$251.19
Typical High
$281.84
Medcost
Setting
Professional
Modifier
TC · Technical part
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$7.76
Median
$14.45
Typical High
$30.20
United
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$446.68
Typical High
$575.44

Where South Carolina 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.

South Carolina· 33rd of 51

$145

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.