Commercial rate index · state cell

Wisconsin healthcare rate index

Name: Reddenda Commercial Rate Atlas: Wisconsin
Creator: Reddenda
License: https://creativecommons.org/licenses/by-nc-nd/4.0/

Commercial contracted rates in Wisconsin run 1.62x the national Medicare fee schedule across the office-visit basket. On the Reddenda index, where 100 is the national standard, Wisconsin prints 168.2, ranked 1 of 51 states.

Index 168.2 1.62x Medicare 382,874 verified rate points 8/8 basket codes published

The basket, code by code

as of 2026-07-15

CPT	Service	State median	vs Medicare	Rate points	Tier
99202	Office visit, new patient, 15-29 min	$123.12	1.73x	61,948	Benchmark
99203	Office visit, new patient, 30-44 min	$185.43	1.68x	39,006	Benchmark
99204	Office visit, new patient, 45-59 min	$332.43	1.99x	40,255	Benchmark
99205	Office visit, new patient, 60-74 min	$474.78	2.16x	67,632	Benchmark
99212	Office visit, established patient, 10-19 min	$79.51	1.40x	42,777	Benchmark
99213	Office visit, established patient, 20-29 min	$124.57	1.35x	45,896	Benchmark
99214	Office visit, established patient, 30-39 min	$204.45	1.55x	41,217	Benchmark
99215	Office visit, established patient, 40-54 min	$256.52	1.38x	44,143	Benchmark

Medians computed across the full verified distribution of practice-level contracted rates in Wisconsin. Publication floor: 11 verified rate points and a non-degenerate spread. Denominator: CMS PFS CY2026 national non-facility. Methodology v1.0.

Documented reimbursement figures are modeled, not guaranteed. Derived from federally mandated Transparency in Coverage data (45 CFR 147.212). No PHI.

Metros in Wisconsin

The market is metro by metro. So is the index.

La Crosse-Onalaska 201.21.93x Medicare Marinette 200.21.92x Medicare Madison 199.11.91x Medicare Stevens Point-Plover 197.51.90x Medicare Fond du Lac 194.81.87x Medicare Wausau 1921.84x Medicare Oshkosh-Neenah 191.11.84x Medicare Green Bay 186.51.79x Medicare Appleton 179.21.72x Medicare Milwaukee-Waukesha 176.91.70x Medicare Wisconsin Rapids-Marsh 1761.69x Medicare Janesville-Beloit 165.71.59x Medicare Manitowoc 153.91.48x Medicare Eau Claire 153.71.48x Medicare Baraboo 146.41.41x Medicare Rice Lake 142.41.37x Medicare Shawano 127.31.22x Medicare Sparta 126.61.22x Medicare Platteville 1171.12x Medicare Beaver Dam 116.71.12x Medicare Whitewater-Elkhorn 115.81.11x Medicare Sheboygan 114.71.10x Medicare Kenosha 108.31.04x Medicare Racine-Mount Pleasant 1081.04x Medicare Menomonie 103.40.99x Medicare Watertown-Fort Atkinso 1000.96x Medicare

Read it against the country.

The national standard is the RCRI print: 0.9608x Medicare, Vintage 001, established July 2026. Wisconsin sits above it. State cells are satellite series to the national print and carry the same frozen methodology.

All states New Hampshire · 129.4 Colorado · 125.7 District of Columbia · 122.3 The national print

Cite this page

Source: Reddenda Commercial Rate Atlas, Wisconsin. Reddenda. https://reddenda.health/atlas/wi/

Series ID

RCRI.US.ST.WI

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Derivation federally mandated TiC MRFs, verified to provider identitystate grain · 382,874 verified rate pointsas of 2026-07-15 · methodology v1.0