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Internal Mammary Artery Dye X-Ray

Wisconsin 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.

How much rates vary

Facilitymedian $158 · 10th to 90th $79 to $339Professionalmedian $138 · 10th to 90th $138 to $138
$100$200facility $158professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$79.43
Median
$79.43
Typical High
$112.20
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$141.25
Median
$165.96
Typical High
$263.03
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Quartz
Setting
Facility
Modifier
26 · Professional part
Typical Low
$123.03
Median
$338.84
Typical High
$338.84
Security Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$138.04
Median
$138.04
Typical High
$138.04