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Unlisted X-Ray Imaging Study

Texas 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 $200 · 10th–90th $74$3890%5%10th90th$200Professionalmedian $724 · 10th–90th $30$7240%50%10th$724$50.0$100.0$200.0$500.0$1.0K

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
$95.50
Median
$371.54
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$199.53
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$154.88
Typical High
$302.00
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$229.09
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$707.95
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$363.08
Typical High
$363.08
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$169.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$144.54
Typical High
$380.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03