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Lymph Vessel X-Ray, One Limb

Iowa rates for HCPCS 75801

X-ray study of the lymph vessels in a single limb. Tiny lymph channels are found and cannulated, contrast material is injected so the vessels show up, and images follow the lymph flow up the limb. It is usually done to investigate long-standing swelling caused by blocked lymph drainage.

Rates data updated October 2026.

How much does Lymph Vessel X-Ray, One Limb cost?

$708

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $955 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$692$407 to $1,175
FacilityA hospital or hospital-owned outpatient department$955$562 to $1,380

How much rates vary

Facilitymedian $955 · 10th to 90th $347 to $1,660Professionalmedian $692 · 10th to 90th $224 to $1,514
$50$100$200$500$1K$2Kfacility $955professional $692

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
$346.74
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$467.74
Median
$562.34
Typical High
$812.83
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$37.15
Typical High
$56.23
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$457.09
Median
$549.54
Typical High
$794.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$245.47
Median
$660.69
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$93.33
Typical High
$120.23
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$208.93
Median
$575.44
Typical High
$1,412.54
Hally Health
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$398.11
Typical High
$707.95
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$69.18
Typical High
$125.89
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$208.93
Median
$323.59
Typical High
$562.34
Medica
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$645.65
Typical High
$1,513.56
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$91.20
Median
$691.83
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$77.62
Typical High
$354.81
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$489.78
Median
$891.25
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$1,513.56
Typical High
$1,513.56
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$93.33
Typical High
$107.15
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$512.86
Median
$912.01
Typical High
$1,513.56
Oscar Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$47.86
Median
$102.33
Typical High
$489.78
United
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$1,584.89
Typical High
$1,995.26
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$338.84
Median
$741.31
Typical High
$1,230.27
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$53.70
Typical High
$87.10
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$288.40
Median
$691.83
Typical High
$1,174.90
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,318.26
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$77.62
Typical High
$87.10
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,230.27
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
$234.42
Median
$281.84
Typical High
$407.38
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$93.33
Median
$112.20
Typical High
$162.18
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$371.54
Median
$446.68
Typical High
$457.09

Where Iowa sits

The same service costs 4.8 times more in Alaska than in New Jersey. 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.

Iowa· 9th of 51

$708

AK $1,000NJ $209

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.