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Home Blood Pressure Readings Review

Massachusetts rates for HCPCS 99474

Covers a clinician working through a set of blood pressure readings the patient has taken at home over time, using a device checked for accuracy, which the patient or a carer reports back to the practice. The clinician works out the average of those readings and then discusses a treatment plan with the patient based on what they show. It gives a picture of blood pressure in everyday life rather than from a single office measurement.

Rates data updated October 2026.

How much does Home Blood Pressure Readings Review cost?

$15.49

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $11.75 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.49$8.91 to $16.60
FacilityA hospital or hospital-owned outpatient department$11.75$8.91 to $19.05

How much rates vary

Facilitymedian $12 · 10th to 90th $6 to $19Professionalmedian $15 · 10th to 90th $7 to $30
$10$100$1Kfacility $12professional $15

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
$8.91
Median
$8.91
Typical High
$15.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$10.96
Typical High
$15.49
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$7.24
Median
$7.24
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$95.50
Typical High
$95.50
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$8.91
Median
$10.72
Typical High
$20.42
BCBS Massachusetts
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$21.88
Typical High
$48.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$21.88
Typical High
$38.90
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$5.37
Median
$12.88
Typical High
$19.05
Fallon Health
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$20.89
Typical High
$31.62
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$16.60
Typical High
$21.88
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$7.24
Median
$7.24
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$95.50
Typical High
$95.50
United
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$18.62
Typical High
$46.77
Well Sense
Setting
Facility
Modifier
None
Typical Low
$7.76
Median
$11.48
Typical High
$17.38
Well Sense
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$9.33
Typical High
$14.45

Where Massachusetts sits

The same service costs 2.8 times more in Minnesota than in Kentucky. 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· 11th of 51

$15.49

MN $22.91KY $8.32

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.