go back

Presumptive Drug Test, Direct Optical Observation

Massachusetts rates for HCPCS G0477

Drug test presump optical

Rates data updated July 2026.

How much does Presumptive Drug Test, Direct Optical Observation cost?

$347

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $18.62 to $347.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $347 · 10th to 90th $347 to $347Professionalmedian $15 · 10th to 90th $15 to $19
$20.0$50.0$100.0$200.0facility $347professional $15

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$18.62
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74

Where Massachusetts sits

The same service costs 22.9 times more in Texas than in Arkansas. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $347 · 4th of 50
TX $347AR $15.14

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.