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Whole Body PET Imaging, Melanoma, Noncovered Indications

Wisconsin rates for HCPCS G0219

PET imaging whole body; melanoma for noncovered indications

Rates data updated October 2026.

How much does Whole Body PET Imaging, Melanoma, Noncovered Indications cost?

$1,288

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $2,630 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,288$1,230 to $1,288
FacilityA hospital or hospital-owned outpatient department$2,630$1,288 to $2,951

How much rates vary

Facilitymedian $2,630 · 10th to 90th $1,288 to $3,467Professionalmedian $1,288 · 10th to 90th $263 to $1,380
$500$1K$2K$5Kfacility $2,630professional $1,288

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$263.03
Median
$1,288.25
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$131.83
Median
$645.65
Typical High
$645.65
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$52.48
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$2,951.21
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$79.43
Median
$95.50
Typical High
$97.72
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,047.13
Median
$1,258.93
Typical High
$1,288.25
DeanCare
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Medica
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Prevea360
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$213.80
Median
$213.80
Typical High
$213.80

Where Wisconsin sits

The same service costs 56.2 times more in Nebraska than in Montana. 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· 21st of 51

$1,288

NE $4,467MT $79.43

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.