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Unlisted X-Ray Imaging Study

Washington 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?

$316

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $316 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 8 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$178 to $724
FacilityA hospital or hospital-owned outpatient department$282$195 to $331

How much rates vary

Facilitymedian $282 · 10th to 90th $83 to $447Professionalmedian $646 · 10th to 90th $50 to $724
$50$100$200$500facility $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
$309.03
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$724.44
Typical High
$724.44
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$281.84
Typical High
$489.78
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$10,000.00
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$229.09
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$218.78
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$489.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$323.59
Typical High
$524.81

Where Washington 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.

Washington· 12th of 50

$316

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.