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Internal Mammary Artery Dye X-Ray

Maine 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?

$214

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $186 to $275.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,288 · 10th to 90th $933 to $2,188Professionalmedian $209 · 10th to 90th $166 to $339
$200$500$1K$2Kfacility $1,288professional $209

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$138.04
Median
$186.21
Typical High
$218.78
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$123.03
Typical High
$162.18
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$1,288.25
Typical High
$2,187.76
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$229.09
Typical High
$316.23
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$53.70
Median
$75.86
Typical High
$102.33
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$151.36
Typical High
$213.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$204.17
Typical High
$524.81
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$66.07
Median
$69.18
Typical High
$120.23
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$128.82
Median
$138.04
Typical High
$407.38
Harvard Pilgrim
Setting
Professional
Modifier
None (both parts)
Typical Low
$186.21
Median
$234.42
Typical High
$338.84
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$77.62
Typical High
$107.15
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$123.03
Median
$151.36
Typical High
$229.09
Martin's Point
Setting
Professional
Modifier
None (both parts)
Typical Low
$158.49
Median
$186.21
Typical High
$218.78
Martin's Point
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$63.10
Typical High
$63.10
Martin's Point
Setting
Professional
Modifier
TC · Technical part
Typical Low
$104.71
Median
$123.03
Typical High
$162.18
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$229.09
Typical High
$338.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$54.95
Median
$79.43
Typical High
$107.15
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$147.91
Typical High
$229.09
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
Professional
Modifier
52 · Reduced service
Typical Low
$66.07
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.30
Median
$37.15
Typical High
$37.15
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$138.04
Median
$147.91
Typical High
$147.91
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$93.33
Typical High
$93.33
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$31.62
Median
$37.15
Typical High
$37.15
Martin's Point
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$123.03
Median
$147.91
Typical High
$147.91

Where Maine 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.

Maine· 34th of 51

$214

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.