go back

Internal Mammary Artery Dye X-Ray

Louisiana 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?

$200

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $2,818 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$191$151 to $214
FacilityA hospital or hospital-owned outpatient department$2,818$832 to $5,129

How much rates vary

Facilitymedian $2,818 · 10th to 90th $389 to $6,761Professionalmedian $191 · 10th to 90th $102 to $389
$100$200$500$1K$2K$5Kfacility $2,818professional $191

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
$177.83
Median
$190.55
Typical High
$190.55
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$114.82
Median
$158.49
Typical High
$457.09
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$181.97
Typical High
$199.53
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$57.54
Median
$67.61
Typical High
$74.13
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$114.82
Typical High
$123.03
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$2,884.03
Typical High
$6,760.83
BCBS Louisiana
Setting
Professional
Modifier
None (both parts)
Typical Low
$190.55
Median
$204.17
Typical High
$213.80
BCBS Louisiana
Setting
Professional
Modifier
26 · Professional part
Typical Low
$64.57
Median
$70.79
Typical High
$81.28
BCBS Louisiana
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$131.83
Typical High
$138.04
Christus
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$162.18
Christus
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$53.70
Typical High
$53.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$309.03
Typical High
$512.86
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$93.33
Median
$104.71
Typical High
$275.42
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$36.31
Typical High
$91.20
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$60.26
Median
$67.61
Typical High
$173.78
United
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$4,786.30
Typical High
$8,709.64
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$125.89
Median
$190.55
Typical High
$524.81
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$56.23
Typical High
$85.11
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$120.23
Typical High
$407.38
6 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
Facility
Modifier
52 · Reduced service
Typical Low
$56.23
Median
$85.11
Typical High
$229.09
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$22.91
Median
$33.88
Typical High
$93.33
Aetna
Setting
Facility
Modifier
FX · Film X-ray
Typical Low
$91.20
Median
$131.83
Typical High
$371.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$89.13
Median
$91.20
Typical High
$100.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$35.48
Median
$36.31
Typical High
$39.81
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$141.25
Median
$144.54
Typical High
$158.49

Where Louisiana 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.

Louisiana· 37th of 51

$200

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.