Wisconsin Medicaid reimbursement rates
83,088 current fee-for-service and managed-care rates from Wisconsin Medicaid, across 117 services and 12 programs, normalized by code, provider level and unit. Each links to one of 98 official source documents. Wisconsin pays the highest rate of any state we cover for 11001.
Last retrieved 2026-10-05. History back to 1900-01-01.
- Current rates
- 83,088
- Services
- 117
- Programs
- 12
- Lines with a plan rule
- 7of 21 service lines
By industry
Wisconsin rates by service
The median current rate for each service, like-for-like by unit. Follow a service to compare it with every other state.
Most-compared billing codes in Wisconsin
Where Wisconsin ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | Wisconsin | All-state median | Rank |
|---|---|---|---|---|
| 10004 | Physician and practitioner services (fee schedule) | $40.18 | $36.98 | 8 of 25 |
| 10005 | Physician and practitioner services (fee schedule) | $98.26 | $65.15 | 8 of 25 |
| 10006 | Physician and practitioner services (fee schedule) | $46.68 | $41.54 | 7 of 25 |
| 10007 | Physician and practitioner services (fee schedule) | $222.19 | $82.81 | 6 of 25 |
| 10008 | Physician and practitioner services (fee schedule) | $125.21 | $52.43 | 5 of 25 |
| 10009 | Physician and practitioner services (fee schedule) | $364.35 | $100.27 | 5 of 25 |
| 10010 | Physician and practitioner services (fee schedule) | $219.48 | $71.32 | 4 of 25 |
| 10021 | Physician and practitioner services (fee schedule) | $67.99 | $53.00 | 8 of 25 |
| 10030 | Physician and practitioner services (fee schedule) | $103.88 | $122.87 | 17 of 25 |
| 10035 | Physician and practitioner services (fee schedule) | $374.23 | $75.57 | 3 of 25 |
| 10036 | Physician and practitioner services (fee schedule) | $325.03 | $38.24 | 3 of 25 |
| 10060 | Physician and practitioner services (fee schedule) | $36.38 | $75.17 | 23 of 25 |
| 10061 | Physician and practitioner services (fee schedule) | $82.32 | $128.72 | 22 of 25 |
| 10080 | Physician and practitioner services (fee schedule) | $54.31 | $78.73 | 20 of 25 |
| 10081 | Physician and practitioner services (fee schedule) | $188.12 | $146.12 | 7 of 25 |
| 10120 | Physician and practitioner services (fee schedule) | $46.45 | $79.49 | 23 of 25 |
| 10121 | Physician and practitioner services (fee schedule) | $121.78 | $137.63 | 19 of 25 |
| 10140 | Physician and practitioner services (fee schedule) | $44.46 | $89.02 | 24 of 25 |
| 10160 | Physician and practitioner services (fee schedule) | $30.17 | $69.52 | 23 of 25 |
| 10180 | Physician and practitioner services (fee schedule) | $110.98 | $151.28 | 20 of 25 |
| 11000 | Physician and practitioner services (fee schedule) | $29.11 | $26.25 | 11 of 25 |
| 11001 | Physician and practitioner services (fee schedule) | $42.66 | $13.80 | 1 of 25 |
| 11004 | Physician and practitioner services (fee schedule) | $447.77 | $437.21 | 9 of 25 |
| 11005 | Physician and practitioner services (fee schedule) | $609.10 | $574.70 | 8 of 25 |
| 11006 | Physician and practitioner services (fee schedule) | $561.26 | $542.16 | 8 of 25 |
| 11008 | Physician and practitioner services (fee schedule) | $227.84 | $208.64 | 6 of 25 |
| 11010 | Physician and practitioner services (fee schedule) | $305.18 | $243.78 | 6 of 25 |
| 11011 | Physician and practitioner services (fee schedule) | $359.33 | $268.00 | 5 of 25 |
| 11012 | Physician and practitioner services (fee schedule) | $492.23 | $374.27 | 4 of 25 |
| 11042 | Physician and practitioner services (fee schedule) | $56.10 | $56.10 | 13 of 25 |
| 11043 | Physician and practitioner services (fee schedule) | $205.77 | $143.40 | 4 of 25 |
| 11044 | Physician and practitioner services (fee schedule) | $281.12 | $202.01 | 4 of 25 |
| 11055 | Physician and practitioner services (fee schedule) | $23.22 | $16.75 | 9 of 25 |
| 11056 | Physician and practitioner services (fee schedule) | $32.51 | $24.83 | 9 of 25 |
| 11057 | Physician and practitioner services (fee schedule) | $41.79 | $31.27 | 8 of 25 |
| 11102 | Physician and practitioner services (fee schedule) | $68.86 | $34.98 | 9 of 25 |
| 11103 | Physician and practitioner services (fee schedule) | $37.14 | $20.25 | 8 of 25 |
| 11104 | Physician and practitioner services (fee schedule) | $86.63 | $43.87 | 8 of 25 |
| 11105 | Physician and practitioner services (fee schedule) | $42.53 | $23.93 | 8 of 25 |
| 11106 | Physician and practitioner services (fee schedule) | $104.73 | $53.40 | 8 of 25 |
Managed care in Wisconsin
35 plans on record, 36 state-directed payment records, 43,640 published capitation cells.
Who sets the rate, line by line →Recent rate changes and notices
Frequently asked questions
Where does Wisconsin publish its Medicaid fee schedules?
Wisconsin publishes rates across 98 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does Wisconsin publish?
83,088 rates are current across 117 services and 12 programs, with 123,396 versions on record since 1900-01-01.
Do Wisconsin Medicaid managed-care plans pay the fee schedule?
For 7 of 21 service lines, plan contracts or state law set a rule plans must follow (a floor, a state-set rate or a required pass-through). For the rest, plans negotiate. See the managed-care page for each line's rule and citation.