Unlisted diagnostic X-ray procedure

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Bronchography Bilateral

Payers reporting CPT 76499

Payer pricing summary

Low

$47

Average

$476

Median

$248

High

$5.1k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Medicare other · both · +11 other terms	27	$83	$96	$22	23%	185–239	$33 – $128
2	UnitedHealthcare fee schedule · outpatient · +32 other terms	636	$133	$159	$190	120%	—	$1 – $4.2k
3	Aetna fee schedule · outpatient · +28 other terms	453	$97	$319	$879	276%	—	$1 – $9.2k
4	Cigna fee schedule · outpatient · +28 other terms	433	$220	$244	$151	62%	—	$1 – $2.0k
5	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	344	$158	$194	$156	80%	—	$0 – $1.1k
6	Humana fee schedule · outpatient · +23 other terms	311	$92	$136	$221	162%	—	$1 – $3.0k
7	Molina fee schedule · outpatient · +24 other terms	219	$103	$109	$46	42%	—	$1 – $460
8	WellCare fee schedule · outpatient · +16 other terms	140	$93	$116	$77	66%	—	$13 – $618
9	Anthem fee schedule · outpatient · +25 other terms	115	$109	$59	$118	201%	—	$0 – $637
10	Ambetter facility · fee schedule · outpatient · +18 other terms	80	$154	$216	$533	247%	—	$86 – $7.0k
11	Kaiser fee schedule · outpatient · +18 other terms	67	$126	$166	$112	68%	—	$1 – $683
12	MultiPlan fee schedule · outpatient · +18 other terms	66	$168	$373	$679	182%	—	$13 – $4.7k
13	Aetna Better Health fee schedule · outpatient · +15 other terms	64	$87	$89	$8	9%	—	$46 – $109
14	Devoted fee schedule · outpatient · +13 other terms	64	$89	$90	$5	6%	—	$79 – $99
15	Caresource fee schedule · outpatient · +12 other terms	51	$133	$252	$180	72%	—	$1 – $635
16	Optum fee schedule · outpatient · +18 other terms	51	$87	$104	$52	50%	—	$49 – $321
17	Tricare fee schedule · outpatient · +18 other terms	44	$86	$87	$24	27%	—	$13 – $111
18	First Health fee schedule · outpatient · +14 other terms	43	$91	$171	$413	242%	—	$81 – $3.0k
19	Oscar fee schedule · outpatient · +16 other terms	42	$174	$168	$36	22%	—	$103 – $248
20	Highmark facility · fee schedule · outpatient · +15 other terms	33	$153	$157	$88	56%	—	$67 – $399
21	Cigna Healthspring fee schedule · outpatient · +9 other terms	32	$91	$95	$35	37%	—	$13 – $176
22	Clover facility · fee schedule · outpatient · +7 other terms	32	$92	$92	$6	7%	—	$80 – $104
23	Bcbs Tx fee schedule · outpatient · +3 other terms	28	$247	$272	$123	45%	—	$83 – $582
24	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	27	$254	$260	$503	194%	—	$83 – $2.1k
25	Superior Healthplan facility · fee schedule · outpatient · +6 other terms	25	$89	$89	$4	4%	—	$87 – $109

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