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RHC/FQHC Telehealth Distant Site Service

Wisconsin rates for HCPCS G2025

Payment for a telehealth distant site service furnished by a Rural Health Clinic (RHC) or Federally Qualified Health Center (FQHC) only

Rates data updated July 2026.

Facilitymedian $98 · 10th–90th $91$2690%50%10th90th$98Professionalmedian $102 · 10th–90th $87$2510%20%10th90th$102$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$93.33
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$93.33
Typical High
$102.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$120.23
Typical High
$281.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$109.65
Typical High
$125.89
CareSource
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$114.82
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$309.03
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$181.97
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$97.72
Typical High
$181.97
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$257.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$97.72
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$125.89
Typical High
$602.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$58.88
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$134.90
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$97.72
Typical High
$181.97
Quartz
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$208.93
Typical High
$316.23
Quartz
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$602.56
Quartz
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$436.52
Typical High
$602.56
Security Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Security Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$630.96
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$186.21
Typical High
$251.19