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X-Ray Dye Study Of The Arm Artery

Wisconsin rates for HCPCS 75658

Contrast dye is injected into the main artery of the arm, directed back toward the heart, and X-ray pictures are taken as it flows. This covers supervising those pictures and reporting what they show about narrowing, blockage, or injury in the vessels.

Rates data updated October 2026.

How much does X-Ray Dye Study Of The Arm Artery cost?

$2,512

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $2,512 for this service. Most negotiated rates run $302 to $2,512.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $479 · 10th to 90th $324 to $724Professionalmedian $2,512 · 10th to 90th $269 to $2,512
$500$1K$2Kfacility $479professional $2,512

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

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$478.63
Typical High
$724.44
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$239.88
Median
$295.12
Typical High
$363.08
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$89.13
Median
$109.65
Typical High
$134.90
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$186.21
Typical High
$229.09
DeanCare
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Medica
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Prevea360
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59

Where Wisconsin sits

The same service costs 83.2 times more in Wisconsin than in South Carolina. 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.

Wisconsin· 1st of 35

$2,512

WI $2,512SC $30.20

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.