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Wisconsin

Cost of a Echocardiogram Visit
in Wisconsin

Reviewed by Momentary Medical Group West PC

Wisconsin's healthcare market operates at approximately 1% above national averages, with Medicaid expansion providing broader coverage for cardiac diagnostic services across the state's diverse urban and rural communities. Echocardiogram procedures in Wisconsin typically range from $73 to $1,020, with a median negotiated rate of $175 based on transparency data from over 5,000 active providers. The Badger State maintains strong provider networks spanning from Milwaukee's major medical centers to rural clinics in northern counties, giving patients multiple options when seeking cardiac imaging services.

Average

$423

Median

$175

Lowest

$73

Highest

$1,020

Providers

5,284

National avg: $247Wisconsin: $423

71% above national average

Compare Similar Procedures

How does echocardiogram compare to related procedures in Wisconsin?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$73$281$4,4304,457
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$73$385$5,3574,222
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$81$617$5,3572,400
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$130$529$4,4301,916
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$116$615$5,3572,133
ECG / EKG

12-lead electrocardiogram with interpretation

93000$19$73$1029,032
OB Ultrasound

Obstetric ultrasound, complete

76805$68$95$5023,783

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 93306Echocardiography, transthoracic, with Doppler). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 93306 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 93306 (Echocardiography, transthoracic, with Doppler), as mandated by the CMS Price Transparency Rule.

What CPT 93306 covers: the provider's professional fee for echocardiogram. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Echocardiogram Visit Costs Vary Across Wisconsin

Wisconsin's healthcare costs run approximately 1% above national averages, reflecting the state's balanced mix of urban medical centers and rural healthcare challenges. The state's geographic diversity creates distinct cost patterns, with premium pricing in metropolitan areas offset by more affordable options in smaller communities throughout the northern and western regions.

Urban vs. Rural Provider Availability

Milwaukee and Madison metropolitan areas concentrate most of Wisconsin's cardiac specialists, creating competitive pricing but higher baseline costs due to urban overhead. Rural counties often rely on visiting cardiologists or require patient travel to regional centers, potentially adding transportation costs but sometimes offering lower procedure fees. Northern Wisconsin's sparse population density limits provider options, occasionally resulting in longer wait times but competitive pricing to attract patients.

Facility Type and Overhead Costs

Major health systems like Aurora Health Care, Ascension Wisconsin, and UW Health operate hospital-based outpatient departments with higher facility fees than independent practices. Academic medical centers in Milwaukee and Madison often charge premium rates due to teaching hospital overhead and specialized equipment. Independent cardiology groups typically offer more competitive pricing but may have limited evening or weekend availability.

Insurance Market Competition in Wisconsin

BCBS Wisconsin (Anthem), UHC, and WEA Trust dominate the state's insurance landscape, creating moderate competition that helps control negotiated rates. WEA Trust's strong presence in public sector employment influences pricing throughout the state, while UHC and Anthem compete primarily in the commercial market. Limited insurer options in some rural counties can reduce negotiating power and potentially increase patient costs.

Physician Supply and Demand in Wisconsin

With over 5,000 active echocardiogram providers across Wisconsin, the state maintains adequate cardiac imaging capacity relative to its population of 5.9 million residents. This robust provider network helps maintain competitive pricing and reasonable wait times in most regions. Concentration of specialists in southeastern Wisconsin creates some geographic imbalances, but telemedicine interpretation services help extend access to rural areas.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Echocardiogram Costs in Wisconsin

What is the average cost of a Echocardiogram visit in Wisconsin without insurance?

Self-pay patients in Wisconsin can expect echocardiogram costs ranging from $73 to $1,020, with a typical median cost of $175 based on negotiated rates from over 5,000 providers. Many Wisconsin facilities offer cash-pay discounts of 20-40% off standard rates, making the actual out-of-pocket cost potentially lower. Hospital-based facilities generally charge more than independent cardiology practices, so shopping around can yield significant savings.

Does Wisconsin Medicaid cover Echocardiogram visits?

Yes, Wisconsin's expanded Medicaid program (BadgerCare Plus) covers medically necessary echocardiograms when ordered by a physician. Coverage typically requires prior authorization for non-urgent procedures, and patients may need referrals from primary care providers. Most major Wisconsin health systems and cardiology practices accept BadgerCare Plus, providing good access throughout the state.

How do I find an affordable Echocardiogram near me in Wisconsin?

Compare prices between hospital-based outpatient departments and independent cardiology practices, as independent facilities often charge 40-60% less. Ask about self-pay discounts, payment plans, and sliding scale fees based on income. Community health centers in Wisconsin may offer reduced-cost cardiac services, and some facilities provide package pricing that includes both the procedure and interpretation.

What is the difference in cost between an initial consultation and a follow-up visit?

While specific consultation visit data isn't available in our Wisconsin dataset, echocardiogram procedures themselves typically cost the same regardless of whether it's your first or follow-up study. However, the associated office visit may be billed separately, with initial consultations generally costing more than follow-up appointments. Many Wisconsin providers offer package deals that include both the consultation and echocardiogram procedure.

Can I use an HSA or FSA to pay for a Echocardiogram visit in Wisconsin?

Yes, echocardiograms are qualified medical expenses eligible for HSA and FSA reimbursement when prescribed by a physician for diagnostic purposes. You can use your HSA or FSA debit card directly at most Wisconsin providers, or pay out-of-pocket and submit receipts for reimbursement. Keep all documentation including the prescription and procedure notes for your records.

How does telemedicine affect the cost of seeing a Echocardiogram in Wisconsin?

While the echocardiogram procedure itself must be performed in-person, many Wisconsin providers offer telehealth consultations for discussing results or follow-up care at reduced costs. Remote interpretation services help extend specialist expertise to rural Wisconsin areas without increasing patient costs. Some providers offer hybrid models combining in-person procedures with virtual consultations to optimize both convenience and cost-effectiveness.

Click a state to compare costs

Average Visit Cost

$143
$463

Office visit (CPT 93306)

Compare With Other States

RankStateAverage
1West Virginia
Range: $66$1,167
$463
2Wisconsin
Range: $73$1,020
$423
3Rhode Island
Range: $64$895
$389
4New York
Range: $51$895
$373
5Massachusetts
Range: $77$677
$324
6Minnesota
Range: $77$644
$319
7Georgia
Range: $68$653
$309
8Wyoming
Range: $94$605
$306
9Delaware
Range: $60$677
$303
10Pennsylvania
Range: $61$677
$298
11North Dakota
Range: $75$619
$292
12Connecticut
Range: $64$677
$289
13Nebraska
Range: $101$477
$287
14New Hampshire
Range: $78$519
$282
15District of Columbia
Range: $59$569
$273
16Iowa
Range: $85$477
$269
17Oregon
Range: $79$568
$268
18Washington
Range: $80$513
$260
19California
Range: $79$586
$256
20North Carolina
Range: $68$501
$254
21Missouri
Range: $79$449
$250
22Maine
Range: $95$394
$249
23New Mexico
Range: $80$440
$244
24New Jersey
Range: $60$490
$238
25Vermont
Range: $61$471
$234
26South Dakota
Range: $67$460
$232
27Kentucky
Range: $64$477
$231
28Florida
Range: $60$460
$227
29Colorado
Range: $77$428
$225
30Indiana
Range: $65$436
$224
31Hawaii
Range: $75$438
$222
32Idaho
Range: $78$430
$213
33Michigan
Range: $67$405
$213
34Texas
Range: $64$418
$212
35Illinois
Range: $74$378
$210
36Nevada
Range: $85$321
$208
37Utah
Range: $80$340
$207
38Maryland
Range: $55$399
$205
39Arkansas
Range: $72$369
$201
40Virginia
Range: $59$390
$200
41Mississippi
Range: $57$377
$191
42Tennessee
Range: $64$340
$190
43South Carolina
Range: $62$364
$188
44Kansas
Range: $71$316
$186
45Louisiana
Range: $57$342
$182
46Alabama
Range: $60$329
$179
47Ohio
Range: $52$351
$178
48Oklahoma
Range: $60$356
$177
49Alaska
Range: $80$345
$168
50Arizona
Range: $60$264
$145
51Montana
Range: $80$269
$143
Echocardiogram in Other States