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Lung Artery Dye X-Ray, One Side

Missouri 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?

$209

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $398 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$141 to $724
FacilityA hospital or hospital-owned outpatient department$398$251 to $2,344

How much rates vary

Facilitymedian $398 · 10th to 90th $182 to $9,550Professionalmedian $200 · 10th to 90th $117 to $3,162
$100$500$2K$10Kfacility $398professional $200

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
Facility
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$407.38
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$120.23
Typical High
$190.55
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$56.23
Typical High
$70.79
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$61.66
Median
$64.57
Typical High
$100.00
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$117.49
Median
$218.78
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$97.72
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$72.44
Median
$131.83
Typical High
$707.95
BCBS Kansas City
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$537.03
Typical High
$1,348.96
BCBS Kansas City
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$141.25
Typical High
$204.17
BCBS Kansas City
Setting
Professional
Modifier
26 · Professional part
Typical Low
$64.57
Median
$66.07
Typical High
$85.11
BCBS Kansas City
Setting
Professional
Modifier
TC · Technical part
Typical Low
$72.44
Median
$75.86
Typical High
$114.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$380.19
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$93.33
Median
$158.49
Typical High
$407.38
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$64.57
Typical High
$114.82
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$50.12
Median
$93.33
Typical High
$288.40
Medica
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$645.65
Typical High
$9,332.54
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$151.36
Median
$3,162.28
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$66.07
Median
$630.96
Typical High
$630.96
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$2,818.38
Typical High
$2,818.38
United
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,471.29
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$138.04
Median
$181.97
Typical High
$389.05
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$72.44
Typical High
$114.82
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$77.62
Median
$100.00
Typical High
$257.04
3 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
Professional
Modifier
52 · Reduced service
Typical Low
$57.54
Median
$60.26
Typical High
$70.79
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.91
Median
$23.99
Typical High
$28.18
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$91.20
Median
$97.72
Typical High
$109.65

Where Missouri 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.

Missouri· 20th of 51

$209

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.