Every state, kept current
The Rates plan
$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes Wisconsin schedules export as CSV with the Rates plan.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Wisconsin's published schedules by category
Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.
| Category | Codes | Effective | Median % of Medicare | Example rate | PA required |
|---|---|---|---|---|---|
| Physician | 6,678 | Jul 2026 | 84.1% | $60.42 Office visit, established patient, low complexity (20-29 min) (99213) | -- |
| Lab & Imaging | 2,101 | Jul 2026 | 100% | $23.52 Chest X-ray, 2 views (71046) | -- |
| DME & Supplies | 1,837 | Apr 2026 | 61.3% | $478.30 Continuous positive airway pressure (cpap) device (E0601) | -- |
| Drugs | 973 | Jul 2026 | -- | -- | -- |
| Vision | 144 | Sep 2025 | 18.7% | $44.33 Eye exam, new patient, comprehensive (92004) | -- |
| Behavioral Health | 43 | Apr 2026 | 74.4% | $113.43 Psychotherapy, 60 minutes (90837) | -- |
| Hearing | 47 | Jan 2022 | -- | $32.53 Hearing aid, digital, binaural, bte (V5261) | -- |
| Transport | 29 | Jan 2025 | -- | $232.19 Ambulance service, basic life support, non-emergency transport, (bls) (A0428) | -- |
| State-Specific Services | 263 | Jul 2026 | 60.3% | -- | -- |
| Dental | Wisconsin's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
Wisconsin also publishes 1 anesthesia code (Jul 2024), too few or too old to summarize here.
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one.
Where Wisconsin publishes its fee schedules
- Publisher
- Wisconsin Department of Health Services (DHS)
- Program
- ForwardHealth
- Official source
- https://www.forwardhealth.wi.gov/
- Last checked
- Aug 21, 2026
ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.
These are common-procedure samples. The complete Wisconsin schedules, every category and every code, export as CSV on the Rates plan.
Compare Wisconsin nationally
Frequently asked questions
Does Wisconsin publish a Medicaid fee schedule?
Yes. Wisconsin publishes 12,115 Medicaid fee-for-service procedure rates across 9 service categories, effective through Jul 2026, all collected and normalized here with plain-language procedure names. Wisconsin Department of Health Services (DHS) publishes Wisconsin's Medicaid fee schedules for ForwardHealth.
Who publishes Wisconsin's Medicaid fee schedule?
Wisconsin Department of Health Services (DHS) publishes Wisconsin's Medicaid fee schedules for ForwardHealth. The state's own fee-schedule page is https://www.forwardhealth.wi.gov/. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 21, 2026).
What does Wisconsin Medicaid pay for common services?
An established-patient office visit (99213) pays $60.42, a two-view chest X-ray (71046) $23.52 and a CPAP device (E0601) $478.30. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.
How do Wisconsin's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, Wisconsin's published rates run a median 82.5% of the Medicare amount, ranking 25 of 49 jurisdictions with a comparable basis.
What service categories does Wisconsin publish?
Physician (6,678 codes), Lab & Imaging (2,101 codes), DME & Supplies (1,837 codes), Drugs (973 codes), Vision (144 codes), Behavioral Health (43 codes), Hearing (47 codes), Transport (29 codes), State-Specific Services (263 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from Wisconsin's currently published fee schedules, the newest effective Jul 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.