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Wisconsin rates for HCPCS V2020

Frames, purchases

Facilitymedian $91 · 10th–90th $66$3240%20%10th90th$91Professionalmedian $74 · 10th–90th $32$1200%10%20%10th90th$74$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
$75.86
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$69.18
Typical High
$79.43
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$131.83
Typical High
$173.78
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$75.86
Typical High
$91.20
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$169.82
Typical High
$223.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$85.11
Typical High
$141.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$43.65
Typical High
$85.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$91.20
Typical High
$141.25
Quartz
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$223.87
Quartz
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$478.63
Quartz
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$407.38
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$70.79
Typical High
$117.49