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Lung Artery Dye X-Ray, One Side

Arizona rates for HCPCS 75741

X-ray imaging of the arteries supplying one lung, taken after a thin tube is guided into the artery and contrast dye is injected directly into it. Only the vessels on that one side are studied. It is used to look for a blood clot, a narrowing, or an abnormal connection between vessels in the lung.

Rates data updated October 2026.

How much does Lung Artery Dye X-Ray, One Side cost?

$191

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $263 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$178$135 to $380
FacilityA hospital or hospital-owned outpatient department$263$166 to $389

How much rates vary

Facilitymedian $263 · 10th to 90th $69 to $5,623Professionalmedian $178 · 10th to 90th $110 to $3,162
$50$200$1K$5Kfacility $263professional $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 (both parts)
Typical Low
$125.89
Median
$134.90
Typical High
$194.98
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$57.54
Median
$61.66
Typical High
$66.07
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$69.18
Median
$72.44
Typical High
$109.65
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$218.78
Typical High
$323.59
BCBS Arizona
Setting
Professional
Modifier
None (both parts)
Typical Low
$104.71
Median
$104.71
Typical High
$204.17
BCBS Arizona
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$45.71
Typical High
$87.10
BCBS Arizona
Setting
Professional
Modifier
TC · Technical part
Typical Low
$60.26
Median
$60.26
Typical High
$114.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$512.86
Typical High
$9,120.11
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$109.65
Median
$162.18
Typical High
$436.52
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$63.10
Typical High
$117.49
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$58.88
Median
$93.33
Typical High
$354.81
Medica
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$147.91
Typical High
$645.65
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$3,162.28
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$630.96
Typical High
$630.96
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$81.28
Median
$2,818.38
Typical High
$2,818.38
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$190.55
Typical High
$380.19
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$64.57
Typical High
$104.71
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$81.28
Median
$123.03
Typical High
$316.23
4 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Facility
Modifier
FX · Film X-ray
Typical Low
$85.11
Median
$363.08
Typical High
$575.44
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$61.66
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$24.55
Median
$26.92
Typical High
$26.92
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$107.15
Median
$107.15
Typical High
$107.15

Where Arizona sits

The same service costs 5.4 times more in Alaska than in Utah. 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.

Arizona· 31st of 51

$191

AK $407UT $75.86

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.