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Internal Mammary Artery Dye X-Ray

West Virginia 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?

$331

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $331 for this service. Most negotiated rates run $200 to $617.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,467 · 10th to 90th $339 to $6,166Professionalmedian $331 · 10th to 90th $138 to $871
$100$200$500$1K$2K$5K$10Kfacility $3,467professional $331

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$144.54
Typical High
$169.82
CareSource
Setting
Professional
Modifier
None (both parts)
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$426.58
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$338.84
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$107.15
Typical High
$281.84
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$218.78
Typical High
$812.83
United
Setting
Facility
Modifier
None
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$436.52
Typical High
$776.25
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$70.79
Typical High
$162.18
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$85.11
Median
$295.12
Typical High
$676.08
1 more rate 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
Facility
Modifier
FX · Film X-ray
Typical Low
$72.44
Median
$144.54
Typical High
$181.97

Where West Virginia 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.

West Virginia· 9th of 51

$331

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.