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Michigan rates for HCPCS 99401

Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes

Facilitymedian $34 · 10th–90th $25–$450%20%10th90th$34Professionalmedian $35 · 10th–90th $21–$760%10%10th90th$35$10.0$20.0$50.0$100.0$200.0

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
$25.12 / $28.18 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $34.67 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $38.90 / $50.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $34.67 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $37.15 / $61.66
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $29.51 / $39.81
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $46.77 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $36.31 / $75.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $38.90 / $45.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $36.31 / $66.07
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $33.11 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $35.48 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $36.31 / $64.57