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Chronic Kidney Disease Education, Individual

Michigan rates for HCPCS G0420

Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per 1 hour

Rates data updated July 2026.

How much does Chronic Kidney Disease Education, Individual cost?

$110

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $110 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 7 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$110$100 to $123
FacilityA hospital or hospital-owned outpatient department$110$110 to $115

How much rates vary

Facilitymedian $110 · 10th to 90th $105 to $174Professionalmedian $110 · 10th to 90th $83 to $174
$100$200$500facility $110professional $110

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$107.15
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$173.78
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$173.78
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$147.91
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$107.15
Typical High
$275.42
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$144.54
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$120.23
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$114.82
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$186.21

Where Michigan sits

The same service costs 2.0 times more in Minnesota than in Louisiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 22nd of 51

$110

MN $200LA $100

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.