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Wheelchair Evaluation, Face-to-Face Physician Visit

Massachusetts rates for HCPCS G9156

Evaluation for wheelchair requiring face-to-face visit with physician

Rates data updated October 2026.

How much does Wheelchair Evaluation, Face-to-Face Physician Visit cost?

$12.02

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $3,631 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$12.02$10.00 to $25.12
FacilityA hospital or hospital-owned outpatient department$3,631$2,512 to $3,631

How much rates vary

Facilitymedian $3,631 · 10th to 90th $55 to $5,129Professionalmedian $12 · 10th to 90th $10 to $34
$10$100$1K$10Kfacility $3,631professional $12

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

Rates by insurance carrier

Insurance Carrier
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$75.86
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$12.02
Typical High
$33.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
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
$9.55
Median
$12.02
Typical High
$33.11
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$75.86
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$12.02
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$12.02
Typical High
$33.11
Well Sense
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$3,630.78
Typical High
$4,897.79
Well Sense
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,388.44

Where Massachusetts sits

The same service costs 9.5 times more in North Carolina than in New Jersey. 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· 29th of 51

$12.02

NC $75.86NJ $7.94

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.