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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.

Facilitymedian $282 · 10th–90th $71$10,0000%10%10th90th$282Professionalmedian $646 · 10th–90th $51$10,9650%20%10th90th$646$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. Need provider-level prices? Contact us.

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