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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 October 2026.

How much does Unlisted X-Ray Imaging Study cost?

$269

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $309 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$178$64.57 to $468
FacilityA hospital or hospital-owned outpatient department$309$251 to $347

How much rates vary

Facilitymedian $309 · 10th to 90th $151 to $525Professionalmedian $178 · 10th to 90th $50 to $646
$50$100$200$500$1Kfacility $309professional $178

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$467.74
Typical High
$645.65
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$295.12
Typical High
$562.34
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$1,659.59
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$269.15
Typical High
$363.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Molina
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$64.57
Typical High
$64.57
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$257.04
Typical High
$524.81
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
United
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$338.84
Typical High
$524.81

Where Washington sits

The same service costs 20.9 times more in New Hampshire 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· 9th of 51

$269

NH $646DE $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.