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Alcohol or Substance Misuse Assessment, over 30 Minutes

Wisconsin rates for HCPCS G0397

Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes

Rates data updated July 2026.

Facilitymedian $65 · 10th–90th $54$930%20%10th90th$65Professionalmedian $66 · 10th–90th $46$1510%10%20%10th90th$66$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
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$60.26
Typical High
$72.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$239.88
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$64.57
Typical High
$85.11
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$120.23
Typical High
$173.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$64.57
Typical High
$87.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$114.82
Typical High
$851.14
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
Network Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$81.28
Typical High
$173.78
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$64.57
Typical High
$85.11
Quartz
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$177.83
Quartz
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$724.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$323.59
Typical High
$851.14
Security Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$81.28
Security Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$138.04
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$100.00
Typical High
$173.78