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Chronic Kidney Disease Education, Individual

Massachusetts rates for HCPCS G0420

Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per 1 hour

Rates data updated July 2026.

How much does Chronic Kidney Disease Education, Individual cost?

$123

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $138 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$123$105 to $209
FacilityA hospital or hospital-owned outpatient department$138$97.72 to $174

How much rates vary

Facilitymedian $138 · 10th to 90th $98 to $257Professionalmedian $123 · 10th to 90th $89 to $295
$100$200$500facility $138professional $123

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
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$128.82
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$147.91
Typical High
$218.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$223.87
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$204.17
Typical High
$302.00
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$114.82
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$177.83
Typical High
$316.23

Where Massachusetts sits

The same service costs 2.0 times more in Minnesota than in Louisiana. 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· 9th of 51

$123

MN $200LA $100

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.