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Internal Mammary Artery Dye X-Ray

Iowa 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?

$331

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $708 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$331$219 to $417
FacilityA hospital or hospital-owned outpatient department$708$457 to $5,888

How much rates vary

Facilitymedian $708 · 10th to 90th $324 to $8,318Professionalmedian $331 · 10th to 90th $158 to $891
$200$500$1K$2K$5K$10Kfacility $708professional $331

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
$141.25
Median
$141.25
Typical High
$724.44
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$138.04
Median
$141.25
Typical High
$239.88
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$48.98
Typical High
$72.44
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$93.33
Typical High
$162.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$229.09
Median
$354.81
Typical High
$512.86
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$120.23
Typical High
$154.88
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$234.42
Typical High
$338.84
Hally Health
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$281.84
Typical High
$851.14
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$95.50
Typical High
$181.97
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$186.21
Typical High
$758.58
Medica
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$467.74
Typical High
$7,585.78
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$371.54
Typical High
$3,090.30
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$100.00
Typical High
$616.60
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$199.53
Typical High
$2,818.38
Midlands
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$354.81
Typical High
$416.87
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$109.65
Median
$120.23
Typical High
$141.25
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$218.78
Median
$234.42
Typical High
$281.84
Midlands
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$309.03
Median
$380.19
Typical High
$1,949.84
United
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$7,943.28
Typical High
$10,000.00
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$151.36
Median
$204.17
Typical High
$371.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$53.70
Median
$69.18
Typical High
$114.82
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$134.90
Typical High
$239.88
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$295.12
Median
$295.12
Typical High
$331.13
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$95.50
Median
$95.50
Typical High
$107.15
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$199.53
Median
$199.53
Typical High
$223.87
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
$69.18
Median
$70.79
Typical High
$120.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$27.54
Median
$28.18
Typical High
$47.86
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$109.65
Median
$114.82
Typical High
$125.89

Where Iowa 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.

Iowa· 8th of 51

$331

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.