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Physician Direction Of Ambulance Emergency Care

Iowa rates for HCPCS 99288

A physician directs an ambulance crew as they provide advanced emergency care to a patient. The direction is given remotely, so there is no face-to-face visit with the patient. The charge is for the physician's guidance of the crew.

Rates data updated July 2026.

How much does Physician Direction Of Ambulance Emergency Care cost?

$48.98

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $48.98 for this service. Most negotiated rates run $48.98 to $48.98.

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.

How much rates vary

Facilitymedian $100 · 10th to 90th $49 to $275Professionalmedian $49 · 10th to 90th $49 to $145
$50$100$200facility $100professional $49

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
$48.98
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$316.23
Typical High
$436.52
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$239.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$69.18
Typical High
$288.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$275.42
Typical High
$891.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$177.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$251.19
Typical High
$251.19

Where Iowa sits

The same service costs 5.8 times more in Maine than in Kansas. 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· 34th of 51

$48.98

ME $269KS $46.77

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.