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Miroderm

Michigan rates for HCPCS Q4175

MiroDerm, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated October 2026.

How much does Miroderm cost?

$95.50

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $135 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$95.50$93.33 to $120
FacilityA hospital or hospital-owned outpatient department$135$120 to $155

How much rates vary

Facilitymedian $135 · 10th to 90th $95 to $269Professionalmedian $95 · 10th to 90th $91 to $126
$100$200facility $135professional $95

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$95.50
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$46.77
Median
$46.77
Typical High
$47.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.33
Median
$9.33
Typical High
$9.55
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$125.89
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$138.04
Typical High
$269.15
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$93.33
Typical High
$123.03
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Priority Health
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Michigan sits

The same service costs 2.1 times more in Alaska than in Montana. 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· 38th of 51

$95.50

AK $170MT $79.43

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.