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Cognitive and Functional Assessment, Outpatient

Massachusetts rates for HCPCS G0505

Cog/func assessment outpt

Rates data updated October 2026.

How much does Cognitive and Functional Assessment, Outpatient cost?

$309

Typical physician fee. In Massachusetts, October 2026.

Insurers have agreed to pay about $309 for this service. Most negotiated rates run $229 to $977.

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

Professionalmedian $309 · 10th to 90th $182 to $977
$200$500$1Kprofessional $309

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
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$229.09
Typical High
$309.03
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$977.24

Where Massachusetts sits

The same service costs 27.5 times more in California than in South Carolina. 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 40

$309

CA $832SC $30.20

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.