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Bilateral Diagnostic Mammography, Computer-Aided Detection

Wisconsin rates for HCPCS G0204

Dx mammo incl cad bi

Rates data updated July 2026.

How much does Bilateral Diagnostic Mammography, Computer-Aided Detection cost?

$229

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $501 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 4 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$209$200 to $229
FacilityA hospital or hospital-owned outpatient department$501$490 to $575

How much rates vary

Facilitymedian $501 · 10th to 90th $427 to $724Professionalmedian $209 · 10th to 90th $178 to $229
$100$200$500$1Kfacility $501professional $209

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
$426.58
Median
$501.19
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$199.53
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$537.03
Quartz
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31

Where Wisconsin sits

The same service costs 24.5 times more in Massachusetts than in Idaho. 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· 15th of 33

$229

MA $741ID $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.