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Alcohol or Substance Misuse Assessment, over 30 Minutes

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

Rates data updated July 2026.

How much does Alcohol or Substance Misuse Assessment, over 30 Minutes cost?

$64.57

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $67.61 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$64.57$56.23 to $69.18
FacilityA hospital or hospital-owned outpatient department$67.61$66.07 to $67.61

How much rates vary

Facilitymedian $68 · 10th to 90th $66 to $85Professionalmedian $65 · 10th to 90th $48 to $76
$50.0$100.0$200.0$500.0facility $68professional $65

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$64.57
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$85.11
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$75.86
Typical High
$102.33
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$67.61
Typical High
$67.61
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$66.07
Typical High
$79.43
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$70.79
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$72.44
Typical High
$95.50

Where Michigan sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Michigan $64.57 · 29th of 51
ND $81.28LA $57.54

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.