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Internal Mammary Artery Dye X-Ray

Arizona rates for HCPCS 75756

X-ray imaging of the internal mammary artery, the vessel running down the inside of the front of the chest, after a thin tube is guided into it and contrast dye is injected. It is most often done to check this artery before it is used as a bypass graft for the heart, or to check the graft afterwards.

Rates data updated October 2026.

How much does Internal Mammary Artery Dye X-Ray cost?

$219

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $407 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$219$166 to $398
FacilityA hospital or hospital-owned outpatient department$407$251 to $589

How much rates vary

Facilitymedian $407 · 10th to 90th $112 to $5,623Professionalmedian $219 · 10th to 90th $138 to $3,090
$100$200$500$1K$2K$5K$10Kfacility $407professional $219

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
TC · Technical part
Typical Low
$162.18
Median
$691.83
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$165.96
Typical High
$234.42
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$53.70
Median
$56.23
Typical High
$58.88
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$112.20
Typical High
$162.18
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$354.81
Typical High
$537.03
BCBS Arizona
Setting
Professional
Modifier
None (both parts)
Typical Low
$138.04
Median
$138.04
Typical High
$269.15
BCBS Arizona
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$41.69
Typical High
$79.43
BCBS Arizona
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$97.72
Typical High
$186.21
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$645.65
Typical High
$9,120.11
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$190.55
Typical High
$489.78
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$57.54
Typical High
$107.15
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$128.82
Typical High
$380.19
Medica
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$186.21
Typical High
$630.96
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$3,090.30
Typical High
$3,090.30
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$57.54
Median
$616.60
Typical High
$616.60
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$2,818.38
Typical High
$2,818.38
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$218.78
Typical High
$398.11
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$53.70
Median
$58.88
Typical High
$93.33
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$158.49
Typical High
$338.84
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
$75.86
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$30.20
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$134.90
Median
$134.90
Typical High
$134.90

Where Arizona sits

The same service costs 4.0 times more in Alaska than in Texas. 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· 33rd of 51

$219

AK $479TX $120

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.