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Speech-Language Pathology Maintenance Program in Home Health

Wisconsin rates for HCPCS G0161

Services performed by a qualified speech-language pathologist, in the home health setting, in the establishment or delivery of a safe and effective speech-language pathology maintenance program, each 15 minutes

Rates data updated July 2026.

How much does Speech-Language Pathology Maintenance Program in Home Health cost?

$15.49

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $15.49 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 7 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$15.49$15.49 to $15.49
FacilityA hospital or hospital-owned outpatient department$15.49$15.49 to $27.54

How much rates vary

Facilitymedian $15 · 10th to 90th $15 to $79Professionalmedian $15 · 10th to 90th $15 to $15
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $15professional $15

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$27.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$79.43
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$85.11
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$27.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00

Where Wisconsin sits

The same service costs 22.4 times more in New York than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $15.49 · 25th of 50
NY $117RI $5.25

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.