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Michigan rates for HCPCS 54100

Biopsy of penis; (separate procedure)

Facilitymedian $2,239 · 10th–90th $251–$4,8980%20%10th90th$2,239Professionalmedian $200 · 10th–90th $117–$3890%10%10th90th$200$50.0$200.0$1.0K$5.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $199.53 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $181.97 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $181.97 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $186.21 / $275.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $223.87 / $371.54
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $169.82 / $275.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,884.03 / $5,623.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $204.17 / $302.00