go back

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 July 2026.

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

$363

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $490 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$302$269 to $2,512
FacilityA hospital or hospital-owned outpatient department$490$347 to $724

How much rates vary

Facilitymedian $490 · 10th to 90th $195 to $794Professionalmedian $302 · 10th to 90th $251 to $2,512
$200$500$1K$2Kfacility $490professional $302

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$426.58
Median
$489.78
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$295.12
Typical High
$302.00
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$363.08
Typical High
$741.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$478.63
Typical High
$2,041.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$363.08
Typical High
$741.31
Quartz
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,584.89
Typical High
$1,584.89
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,511.89
Typical High
$2,511.89

Where Wisconsin sits

The same service costs 13.2 times more in Massachusetts than in Florida. 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· 26th of 36

$363

MA $2,512FL $191

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.