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Surgical Mask

Massachusetts rates for HCPCS A4928

Surgical mask, per 20

Rates data updated October 2026.

How much does Surgical Mask cost?

$1.26

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $1.26 for this service. The price depends on where it is billed: about $1.26 from a physician practice, and about $56.23 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.26$0.30 to $2.24
FacilityA hospital or hospital-owned outpatient department$56.23$10.72 to $4,898

How much rates vary

Facilitymedian $56 · 10th to 90th $11 to $7,079Professionalmedian $1 · 10th to 90th $0 to $17
$1$10$100$1K$10Kfacility $56professional $1

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.26
Median
$1.26
Typical High
$1.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.26
Median
$1.26
Typical High
$1.26
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.63
Median
$0.63
Typical High
$0.63
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.25
Median
$0.25
Typical High
$0.25
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.19
Median
$0.19
Typical High
$0.19
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.13
Median
$0.13
Typical High
$0.13
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$0.30
Median
$0.30
Typical High
$0.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$2.24
Median
$2.24
Typical High
$2.24
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$0.30
Median
$0.30
Typical High
$0.30
Well Sense
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$10.72

Where Massachusetts sits

The same service costs 316.2 times more in Montana than in Arkansas. 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· 33rd of 51

$1.26

MT $79.43AR $0.25

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.