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Sialic Acid Measurement

Iowa rates for HCPCS 84275

A laboratory test that measures sialic acid, a sugar-like molecule that coats the surface of cells and circulates attached to proteins in body fluids. It is measured in specialized work-ups, including when a rare inherited disorder of sialic acid handling is being considered.

Rates data updated July 2026.

How much does Sialic Acid Measurement cost?

$16.22

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $23.99 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.49$10.23 to $32.36
FacilityA hospital or hospital-owned outpatient department$23.99$13.49 to $35.48

How much rates vary

Facilitymedian $24 · 10th to 90th $10 to $39Professionalmedian $13 · 10th to 90th $9 to $89
$10$20$50$100facility $24professional $13

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$31.62
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.23
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$26.30
Typical High
$32.36
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$33.11
Typical High
$87.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$17.38
Typical High
$41.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$16.22
Typical High
$35.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$17.78
Midlands
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$11.22
Typical High
$33.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.49
Typical High
$13.49

Where Iowa sits

The same service costs 2.6 times more in South Dakota than in Washington, DC. 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· 12th of 51

$16.22

SD $26.30DC $10.00

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.