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Unlisted X-Ray Imaging Study

Virginia 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.

How much does Unlisted X-Ray Imaging Study cost?

$282

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $282 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$646$66.07 to $10,000
FacilityA hospital or hospital-owned outpatient department$282$170 to $490

How much rates vary

Facilitymedian $282 · 10th to 90th $71 to $10,000Professionalmedian $646 · 10th to 90th $51 to $10,965
$50$200$1K$5Kfacility $282professional $646

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$281.84
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$467.74
Typical High
$645.65
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$263.03
Typical High
$776.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$69.18
Typical High
$426.58
Sentara
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$10,000.00
Typical High
$10,964.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$10,000.00
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$186.21
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$186.21

Where Virginia sits

The same service costs 23.4 times more in Iowa 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.

Virginia· 15th of 50

$282

IA $724DE $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.