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Michigan rates for HCPCS G0397

Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes

Facilitymedian $68 · 10th–90th $65–$910%50%10th90th$68Professionalmedian $65 · 10th–90th $46–$780%20%10th90th$65$50.0$100.0$200.0$500.0

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
$64.57 / $66.07 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $64.57 / $74.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $91.20 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $72.44 / $102.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $67.61 / $67.61
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $66.07 / $83.18
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $67.61 / $104.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $72.44 / $93.33