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Visit for Drug Monitoring

Wisconsin rates for HCPCS M0064

Visit for drug monitoring

Rates data updated July 2026.

How much does Visit for Drug Monitoring cost?

$57.54

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $158 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 4 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$50.12$18.62 to $72.44
FacilityA hospital or hospital-owned outpatient department$158$138 to $186

How much rates vary

Facilitymedian $158 · 10th to 90th $60 to $186Professionalmedian $50 · 10th to 90th $17 to $74
$20$50$100$200facility $158professional $50

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
$138.04
Median
$162.18
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$20.89
Typical High
$74.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$158.49
Typical High
$158.49
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
$147.91
Quartz
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49

Where Wisconsin sits

The same service costs 7.1 times more in Tennessee than in Utah. 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· 18th of 47

$57.54

TN $148UT $20.89

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.