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Imaging Of The Large Vein From The Upper Body

New Hampshire rates for HCPCS 75827

A series of X-ray images is taken after contrast dye is injected to visualize the superior vena cava, the large vein that carries blood from the head, arms, and upper body back to the heart. This study helps identify blockages, narrowing, or blood clots within this major vein, which can occur from conditions such as a growth pressing on the vein or a clot from a central IV line. A radiologist reviews and interprets the images and dictates a report of the findings.

Rates data updated October 2026.

How much does Imaging Of The Large Vein From The Upper Body cost?

$209

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $661 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$195$158 to $288
FacilityA hospital or hospital-owned outpatient department$661$525 to $741

How much rates vary

Facilitymedian $661 · 10th to 90th $309 to $7,079Professionalmedian $195 · 10th to 90th $132 to $457
$100$200$500$1K$2K$5K$10Kfacility $661professional $195

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
Facility
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$107.15
Median
$213.80
Typical High
$223.87
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$54.95
Typical High
$120.23
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$66.07
Median
$158.49
Typical High
$162.18
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$724.44
Typical High
$741.31
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$120.23
Median
$169.82
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$75.86
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$66.07
Median
$95.50
Typical High
$162.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$676.08
Typical High
$8,912.51
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$147.91
Median
$173.78
Typical High
$512.86
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$74.13
Typical High
$154.88
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$87.10
Median
$102.33
Typical High
$302.00
Harvard Pilgrim
Setting
Professional
Modifier
None (both parts)
Typical Low
$131.83
Median
$213.80
Typical High
$478.63
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$57.54
Median
$91.20
Typical High
$169.82
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$72.44
Median
$120.23
Typical High
$239.88
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$218.78
Typical High
$575.44
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$57.54
Median
$74.13
Typical High
$144.54
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$123.03
Typical High
$346.74
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
$53.70
Median
$104.71
Typical High
$112.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.38
Median
$42.66
Typical High
$44.67
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$85.11
Median
$169.82
Typical High
$169.82

Where New Hampshire sits

The same service costs 4.8 times more in Alaska than in Utah. 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.

New Hampshire· 18th of 51

$209

AK $363UT $75.86

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.