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Lung Artery Dye X-Ray, One Side

Utah 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?

$75.86

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $6,166 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$74.13$53.70 to $100
FacilityA hospital or hospital-owned outpatient department$6,166$240 to $8,318

How much rates vary

Facilitymedian $6,166 · 10th to 90th $240 to $10,715Professionalmedian $74 · 10th to 90th $35 to $214
$100$1K$10Kfacility $6,166professional $74

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
$239.88
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$131.83
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$72.44
Typical High
$72.44
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$72.44
Median
$165.96
Typical High
$165.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$5,495.41
Typical High
$25,118.86
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$147.91
Median
$234.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$69.18
Median
$72.44
Typical High
$112.20
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$162.18
Typical High
$169.82
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.88
Median
$66.07
Typical High
$97.72
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$5,248.07
Median
$6,760.83
Typical High
$10,715.19
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$213.80
Typical High
$269.15
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$97.72
Typical High
$120.23
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$114.82
Typical High
$144.54
Select Health
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Select Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$120.23
Median
$147.91
Typical High
$436.52
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$120.23
Typical High
$302.00
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$173.78
Typical High
$354.81
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$64.57
Typical High
$107.15
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$81.28
Median
$87.10
Typical High
$263.03
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
$66.07
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.30
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$104.71
Median
$190.55
Typical High
$190.55

Where Utah 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.

Utah· 51st of 51

$75.86

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.