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Home Health Nursing Visit by RHC or FQHC

Wisconsin rates for HCPCS G0490

Face-to-face home health nursing visit by a rural health clinic (RHC) or federally qualified health center (FQHC) in an area with a shortage of home health agencies; (services limited to RN or LPN only)

Rates data updated July 2026.

How much does Home Health Nursing Visit by RHC or FQHC cost?

$25.70

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $25.70 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$25.70$25.70 to $25.70
FacilityA hospital or hospital-owned outpatient department$25.70$25.70 to $45.71

How much rates vary

Facilitymedian $26 · 10th to 90th $26 to $76Professionalmedian $26 · 10th to 90th $26 to $26
$20$50$100facility $26professional $26

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
$25.70
Median
$25.70
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$309.03
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$45.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$75.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$85.11
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$45.71
Quartz
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$107.15
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38

Where Wisconsin sits

The same service costs 3.2 times more in Minnesota than in Kentucky. 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· 45th of 50

$25.70

MN $83.18KY $25.70

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.