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Wisconsin rates for HCPCS H0004

Behavioral health counseling and therapy, per 15 minutes

Facilitymedian $15 · 10th–90th $14–$540%50%10th90th$15Professionalmedian $14 · 10th–90th $10–$290%50%10th90th$14$1.0$5.0$20.0$100.0$500.0$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.13 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $16.98 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $63.10 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $22.39 / $25.12
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $19.50
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $33.11 / $47.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $19.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $138.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $20.42 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $50.12 / $75.86