Iowa, South Dakota
Wellmark BCBS fee schedule 2026, by CPT code.
Wellmark Blue Cross and Blue Shield (Iowa / South Dakota) publishes the rate it negotiated with each practice it contracts with, by NPI. Enter yours and we read Wellmark BCBS’s files for your rates.
What you’ll get
| Code | Visit | Your Wellmark BCBS rate | Source file |
|---|---|---|---|
| Filled in from Wellmark BCBS’s own file when you enter your NPI. | |||
Wellmark BCBS publishes 226 in-network rate files. We read them for the rate listed for your practice, code by code.
Need the codes you bill, across your payers? Start a fee schedule from $99/month.
Inside Wellmark BCBS’s files
What Wellmark BCBS publishes.
Published by Wellmark BCBS under the federal Transparency in Coverage rule.
What you get
The number, and everything behind it.
The exact dollar Wellmark BCBS negotiated for a CPT code and your NPI — the genuinely negotiated figure, chosen by a fixed rule, not the “derived” line beside it.
Which Wellmark BCBS network the rate sits in (an HMO and a PPO product can pay differently), and that it’s the in-office professional rate.
The source file and its “as of” month, linked — so the number survives being questioned by a contracting manager.
On a paid plan, Wellmark BCBS becomes one column of a sheet next to every other payer you take, with underpayment checks and change alerts.
After the rate
Is Wellmark BCBS paying you what it published?
Upload your allowed amounts by code and see which ones Wellmark BCBS allowed below the rate it published for you, the claims affected and the dollar gap. Totals only, no patient data. →
Fee scheduleWellmark BCBS next to every other payer you take, code by code, in one sheet, with the source behind every number and an alert when a rate changes. →
Your states
All the payers we read in Iowa, South Dakota.
Why Wellmark BCBS has its own fee schedule, and what BlueCard means for out-of-state Blue patients: there is no single Blue Cross Blue Shield fee schedule →
Questions about Wellmark BCBS’s rates or your contract? Ask us →