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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.

Facilitymedian $282 · 10th–90th $83$4470%10%10th90th$282Professionalmedian $646 · 10th–90th $50$7240%20%40%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
$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