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Dialysis for Acute Kidney Injury with Single Evaluation

Wisconsin rates for HCPCS G0492

Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without ESRD

Rates data updated October 2026.

How much does Dialysis for Acute Kidney Injury with Single Evaluation cost?

$631

Typical physician fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $631 for this service. Most negotiated rates run $631 to $631.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $631 · 10th to 90th $631 to $631Professionalmedian $631 · 10th to 90th $145 to $794
$100$200$500facility $631professional $631

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
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$794.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$316.23
Median
$316.23
Typical High
$398.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$125.89
Median
$125.89
Typical High
$162.18
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$93.33
Median
$93.33
Typical High
$120.23
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$63.10
Median
$63.10
Typical High
$79.43
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$67.61
Typical High
$79.43
DeanCare
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$144.54
Typical High
$151.36

Where Wisconsin sits

The same service costs 43651.6 times more in Massachusetts than in Louisiana. 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· 3rd of 51

$631

MA $871LA $0.02

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.