go back

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 October 2026.

How much does Unlisted X-Ray Imaging Study cost?

$257

Typical facility fee. In Tennessee, October 2026.

Insurers have agreed to pay about $257 for this service. Most negotiated rates run $166 to $1,660.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $166 · 10th to 90th $105 to $339Professionalmedian $1,660 · 10th to 90th $1,660 to $1,660
$100$200$500$1K$2K$5K$10Kfacility $166professional $1,660

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
Cigna
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$165.96
Typical High
$309.03
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$602.56
Median
$602.56
Typical High
$10,000.00
Lucent Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$41.69
Median
$51.29
Typical High
$52.48

Where Tennessee 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.

Tennessee· 13th of 51

$257

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.