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Detailed Slice X-Ray Of One Side

Wisconsin rates for HCPCS 76101

An X-ray technique that blurs out everything except one thin layer of the body, using a tube and film that move together along a complex path so the chosen layer stays sharp. It gives detailed pictures of small structures within one side of the area being studied.

Rates data updated July 2026.

How much does Detailed Slice X-Ray Of One Side cost?

$363

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $309 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 5 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$417$363 to $871
FacilityA hospital or hospital-owned outpatient department$309$269 to $550

How much rates vary

Facilitymedian $309 · 10th to 90th $224 to $617Professionalmedian $417 · 10th to 90th $151 to $871
$50$100$200$500facility $309professional $417

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$309.03
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$363.08
Typical High
$416.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$616.60
Typical High
$616.60
Quartz
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$870.96
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$56.23
Typical High
$120.23

Where Wisconsin sits

The same service costs 28.8 times more in Kansas than in South Carolina. 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.

Wisconsin· 11th of 40

$363

KS $871SC $30.20

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.