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Internal Mammary Artery Dye X-Ray

Missouri 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?

$245

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $457 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$245$166 to $794
FacilityA hospital or hospital-owned outpatient department$457$389 to $1,318

How much rates vary

Facilitymedian $457 · 10th to 90th $229 to $9,550Professionalmedian $245 · 10th to 90th $145 to $3,090
$100$500$2K$10Kfacility $457professional $245

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
$457.09
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$138.04
Median
$151.36
Typical High
$218.78
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$52.48
Typical High
$58.88
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$100.00
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$275.42
Typical High
$794.33
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$56.23
Median
$87.10
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$181.97
Typical High
$707.95
BCBS Kansas City
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$537.03
Typical High
$1,348.96
BCBS Kansas City
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$181.97
Typical High
$239.88
BCBS Kansas City
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$60.26
Typical High
$79.43
BCBS Kansas City
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$123.03
Typical High
$158.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$446.68
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$120.23
Median
$190.55
Typical High
$436.52
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$60.26
Typical High
$104.71
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$128.82
Typical High
$331.13
Medica
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$630.96
Typical High
$9,332.54
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$3,090.30
Typical High
$3,090.30
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$616.60
Typical High
$616.60
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$114.82
Median
$2,818.38
Typical High
$2,818.38
United
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,471.29
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$162.18
Median
$218.78
Typical High
$407.38
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$56.23
Median
$66.07
Typical High
$104.71
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$104.71
Median
$144.54
Typical High
$302.00
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
$75.86
Typical High
$87.10
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$27.54
Median
$30.20
Typical High
$35.48
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$112.20
Median
$120.23
Typical High
$134.90

Where Missouri 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.

Missouri· 22nd of 51

$245

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.