go back

Pessary, Reusable, Rubber

Massachusetts rates for HCPCS A4561

Pessary, reusable, rubber, any type

Rates data updated July 2026.

How much does Pessary, Reusable, Rubber cost?

$24.55

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $34.67 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 8 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$24.55$13.49 to $24.55
FacilityA hospital or hospital-owned outpatient department$34.67$28.18 to $42.66

How much rates vary

Facilitymedian $35 · 10th to 90th $12 to $56Professionalmedian $25 · 10th to 90th $12 to $41
$10$50$200$1K$5Kfacility $35professional $25

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
$12.30
Median
$12.30
Typical High
$12.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$17.38
Typical High
$56.23
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$26.92
Typical High
$134.90
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$22.91
Typical High
$42.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$36.31
Typical High
$47.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.79
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$33.11
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$37.15
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$26.92
Typical High
$134.90
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$22.91
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$12.88
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$23.99
Typical High
$26.92

Where Massachusetts sits

The same service costs 5.1 times more in Hawaii than in Colorado. 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· 8th of 51

$24.55

HI $64.57CO $12.59

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.