Hello aspirant

With 499 rank , your rank will be 45023 - 51086. With EWS category and this rank you will get top good private college. It would be easier to inform college name if you have mentioned state name. However you may get seat in colleges like

Kasturbha Medical College, Mangalore

Christian medical college Vellore

Kasturbha Medical College, Manipal

Hamdard Institute of medical sciences and research , new Delhi

Dr D Y Patil Medical college, Pune

Admission to medical colleges depends upon number of candidates appeared and qualified in exam, difficulty level of exam, previous year's cut off and availability of seats etc

For College prediction following link may help you

https://medicine.careers360.com/neet-college-predictor?icn=QnA&ici=qna_answer