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Internal Mammary Artery Dye X-Ray

Nebraska 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 July 2026.

Facilitymedian $331 · 10th–90th $158$4790%10%20%10th90th$331Professionalmedian $117 · 10th–90th $102$1860%20%10th90th$117$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$158.49
Median
$331.13
Typical High
$501.19
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$102.33
Median
$117.49
Typical High
$186.21
Midlands
Setting
Facility
Modifier
26 · Professional part
Typical Low
$295.12
Median
$295.12
Typical High
$295.12