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Internal Mammary Artery Dye X-Ray

Tennessee 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?

$263

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $263 for this service. Most negotiated rates run $151 to $3,236.

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.

How much rates vary

Facilitymedian $316 · 10th to 90th $224 to $2,951Professionalmedian $257 · 10th to 90th $129 to $3,236
$100$200$500$1K$2K$5K$10Kfacility $316professional $257

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
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$134.90
Typical High
$186.21
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$46.77
Typical High
$56.23
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$85.11
Median
$87.10
Typical High
$123.03
BCBS Tennessee
Setting
Professional
Modifier
None (both parts)
Typical Low
$112.20
Median
$190.55
Typical High
$371.54
BCBS Tennessee
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$72.44
Typical High
$114.82
BCBS Tennessee
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$138.04
Typical High
$251.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$323.59
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$194.98
Typical High
$602.56
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$63.10
Typical High
$120.23
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$85.11
Median
$123.03
Typical High
$524.81
Lucent Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$151.36
Median
$229.09
Typical High
$549.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$53.70
Median
$64.57
Typical High
$114.82
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$141.25
Typical High
$398.11
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
$64.57
Median
$67.61
Typical High
$75.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$26.92
Typical High
$30.20
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$104.71
Median
$104.71
Typical High
$120.23

Where Tennessee 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.

Tennessee· 16th of 51

$263

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.