go back

Michigan rates for HCPCS G0420

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

Facilitymedian $107 · 10th–90th $105–$1620%50%10th90th$107Professionalmedian $110 · 10th–90th $85–$1620%20%10th90th$110$1.0$5.0$20.0$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $107.15 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $162.18 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $162.18 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $151.36
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $107.15 / $275.42
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $109.65 / $158.49
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $114.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $114.82 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $125.89 / $181.97