Average Medicaid Allergy Testing Payments in Waterloo, IA: $94.21
Avg. Paid
$94.21
Range
$57.35 – $105.49
Total Claims
1,438
Providers
5
Typical Payment Range
Typical Medicaid Allergy Testing payments fall between $75.91 and $183.37 per claim (median: $121.31). The top 10% of payments exceed $253.71.
Based on per-provider averages across all Medicaid claims in this category.
Allergy testing identifies specific substances that trigger allergic reactions. Methods include skin prick tests, blood tests, and patch testing.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Allergy Testing in Waterloo, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Carter Redfern
1753 W Ridgeway Ave |
$57.35 | 44 | 39 |
|
David James Congdon
2515 Cyclone Dr Ste B |
$100.87 | 145 | 141 |
|
Kenny David Rodriguez
2515 Cyclone Dr Ste B |
$98.10 | 260 | 248 |
|
Prudhvi Regula
21 W Jefferson St Ste 103 |
$76.21 | 393 | 383 |
|
Felipe Coscolluela Javier
2710 Saint Francis Dr Ste 411 |
$105.49 | 596 | 571 |
What to Expect: Allergy Testing
Skin prick testing takes about 30-40 minutes. Small amounts of allergens are placed on your skin (usually your forearm or back) through tiny pricks. Reactions appear within 15-20 minutes as small raised bumps. Blood tests (specific IgE) require a simple blood draw and results take a few days. You may need to stop antihistamines before skin testing.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 95004 | Allergy skin prick test | $162.28 | 2,319,106 | 4,048 |
| 95024 | Allergy test intradermal | $76.96 | 281,520 | 763 |
| 95018 | Allergy test drugs biologicals | $43.84 | 26,492 | 72 |
| 95076 | Ingestion challenge test init | $119.40 | 15,748 | 63 |
| 95044 | Allergy patch test | $208.82 | 11,522 | 78 |
| 95060 | Ophthalmic mucous membrane tst | $16.04 | 7,289 | 9 |
| 95027 | Allergy test airborne delayed | $115.62 | 5,808 | 18 |
| 95065 | Direct nasal mucous memb test | $19.48 | 2,329 | 4 |
| 95070 | Inhalation bronchial test | $136.79 | 2,254 | 4 |
| 95017 | Allergy test insect venoms | $37.21 | 2,045 | 4 |
| 95079 | Ingestion challenge test addl | $128.08 | 699 | 10 |
| 95052 | Photo patch test | — | — | — |
| 95056 | Photosensitivity test | — | — | — |
| 95071 | Inhalation challenge spirom | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Allergy Testing cost in Waterloo, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Allergy Testing in Waterloo, IA is $94.21 per claim, based on 1,438 claims from 5 providers. Typical payments fall between $75.91 and $183.37. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Allergy Testing in Waterloo, IA?
There are 5 Medicaid providers offering Allergy Testing related services in Waterloo, IA according to public payment data.
What is the price range for Allergy Testing in Waterloo, IA?
Medicaid reimbursement for Allergy Testing in Waterloo, IA ranges from $57.35 to $105.49 per claim, with an average of $94.21. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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