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Cognitive and Functional Assessment, Outpatient

Wisconsin rates for HCPCS G0505

Cog/func assessment outpt

Rates data updated July 2026.

How much does Cognitive and Functional Assessment, Outpatient cost?

$263

Typical physician fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $263 for this service. Most negotiated rates run $229 to $316.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $692 · 10th to 90th $589 to $1,230Professionalmedian $245 · 10th to 90th $182 to $427
$100.0$200.0$500.0$1.0Kfacility $692professional $245

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
$588.84
Median
$691.83
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$309.03
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$416.87
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Quartz
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24

Where Wisconsin sits

The same service costs 25.7 times more in Texas than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $263 · 13th of 41
TX $776SC $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.