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Massachusetts rates for HCPCS 0278U

Rates data updated July 2026.

How much does HCPCS 0278U cost?

$603

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $1,047 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$603$457 to $603
FacilityA hospital or hospital-owned outpatient department$1,047$603 to $1,778

How much rates vary

Facilitymedian $1,047 · 10th to 90th $427 to $1,950Professionalmedian $603 · 10th to 90th $363 to $977
$500$1K$2K$5Kfacility $1,047professional $603

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
$426.58
Median
$1,047.13
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$426.58
Typical High
$489.78
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,621.81
Typical High
$2,884.03
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$602.56
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$478.63
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$933.25
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
$870.96
Median
$870.96
Typical High
$1,023.29
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$977.24
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,621.81
Typical High
$2,884.03
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$602.56
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$602.56
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$602.56
Typical High
$1,071.52

Where Massachusetts sits

The same service costs 3.8 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· 17th of 51

$603

AK $1,380WY $363

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.