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Unlisted X-Ray Imaging Study

Tennessee 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 $389 · 10th–90th $95$5010%10%20%10th90th$389Professionalmedian $1,660 · 10th–90th $603$10,0000%50%10th90th$1,660$50.0$200.0$1.0K$5.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$467.74
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$173.78
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$10,000.00
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$95.50
Typical High
$177.83