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Internal Mammary Artery Dye X-Ray

Oklahoma 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?

$186

Typical negotiated rate. In Oklahoma, October 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $245 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$162$138 to $251
FacilityA hospital or hospital-owned outpatient department$245$224 to $457

How much rates vary

Facilitymedian $245 · 10th to 90th $174 to $1,023Professionalmedian $162 · 10th to 90th $72 to $3,090
$100$200$500$1K$2K$5Kfacility $245professional $162

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
$120.23
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$120.23
Median
$120.23
Typical High
$181.97
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$43.65
Typical High
$56.23
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$77.62
Typical High
$114.82
BCBS Oklahoma
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$251.19
Typical High
$346.74
BCBS Oklahoma
Setting
Professional
Modifier
None (both parts)
Typical Low
$54.95
Median
$151.36
Typical High
$204.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$645.65
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$138.04
Median
$138.04
Typical High
$309.03
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$48.98
Typical High
$75.86
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$89.13
Typical High
$194.98
Medica
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$223.87
Typical High
$954.99
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$151.36
Median
$398.11
Typical High
$3,090.30
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$309.03
Typical High
$616.60
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$630.96
Typical High
$2,818.38
United
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$5,128.61
Typical High
$8,128.31
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$138.04
Median
$165.96
Typical High
$398.11
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$57.54
Typical High
$79.43
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$87.10
Median
$109.65
Typical High
$338.84
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
$60.26
Median
$60.26
Typical High
$79.43
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.99
Median
$23.99
Typical High
$31.62
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$95.50
Median
$95.50
Typical High
$107.15

Where Oklahoma 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.

Oklahoma· 41st of 51

$186

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.