go back

Wisconsin rates for HCPCS 73040

Radiologic examination, shoulder, arthrography, radiological supervision and interpretation

Facilitymedian $71 · 10th–90th $40$1380%10%20%10th90th$71Professionalmedian $105 · 10th–90th $27$2820%5%10th90th$105$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$39.81 / $39.81 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $134.90 / $257.04
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $30.90 / $70.79
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $107.15 / $208.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $199.53 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $39.81 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $147.91 / $478.63
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$70.79 / $81.28 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $354.81 / $537.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $70.79 / $107.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $281.84 / $426.58
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $281.84 / $363.08
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $58.88 / $74.13
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $223.87 / $288.40
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $218.78 / $851.14
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $54.95 / $213.80
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $169.82 / $691.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $109.65
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $223.87 / $389.05
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $61.66 / $97.72
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $158.49 / $295.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $338.84 / $457.09
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $169.82 / $169.82
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $575.44 / $851.14
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $134.90 / $213.80
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $446.68 / $691.83
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $602.56 / $831.76
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $75.86 / $147.91
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $181.97 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $177.83 / $426.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $95.50 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $131.83 / $323.59