go back

Internal Mammary Artery Dye X-Ray

Georgia 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?

$240

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $269 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$234$174 to $427
FacilityA hospital or hospital-owned outpatient department$269$186 to $363

How much rates vary

Facilitymedian $269 · 10th to 90th $145 to $589Professionalmedian $234 · 10th to 90th $138 to $603
$100$200$500$1K$2Kfacility $269professional $234

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
$120.23
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$120.23
Median
$138.04
Typical High
$204.17
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$46.77
Typical High
$57.54
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$77.62
Median
$91.20
Typical High
$134.90
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$302.00
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$158.49
Median
$234.42
Typical High
$630.96
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$70.79
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$158.49
Typical High
$575.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$245.47
Typical High
$331.13
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$338.84
Typical High
$707.95
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$57.54
Median
$91.20
Typical High
$147.91
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$223.87
Typical High
$407.38
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$245.47
Typical High
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$79.43
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$165.96
Typical High
$1,318.26
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$309.03
Typical High
$588.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$53.70
Median
$77.62
Typical High
$131.83
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$208.93
Typical High
$467.74
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
$60.26
Median
$69.18
Typical High
$79.43
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.99
Median
$27.54
Typical High
$31.62
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$97.72
Median
$109.65
Typical High
$123.03

Where Georgia 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.

Georgia· 27th of 51

$240

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.