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Massachusetts rates for HCPCS 0231U

Rates data updated July 2026.

How much does HCPCS 0231U cost?

$851

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $1,479 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$851$631 to $1,514
FacilityA hospital or hospital-owned outpatient department$1,479$851 to $2,512

How much rates vary

Facilitymedian $1,479 · 10th to 90th $589 to $2,754Professionalmedian $851 · 10th to 90th $513 to $1,862
$500$1K$2K$5Kfacility $1,479professional $851

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
$588.84
Median
$1,479.11
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$691.83
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,238.72
Typical High
$3,981.07
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$660.69
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,288.25
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,445.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,047.13
Typical High
$1,862.09
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,238.72
Typical High
$3,981.07
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$1,949.84

Where Massachusetts sits

The same service costs 3.7 times more in Alaska than in Wyoming. 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.

Massachusetts· 16th of 51

$851

AK $1,905WY $513

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.