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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 July 2026.

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

$11.22

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $83.18 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$11.22$9.55 to $15.85
FacilityA hospital or hospital-owned outpatient department$83.18$60.26 to $100

How much rates vary

Facilitymedian $83 · 10th to 90th $10 to $100Professionalmedian $11 · 10th to 90th $7 to $22
$0.1$1$10$100facility $83professional $11

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
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.75
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$93.33
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.48
Typical High
$22.39
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.75
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$10.00
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$11.48
Typical High
$22.39

Where Massachusetts sits

The same service costs 7.6 times more in North Carolina than in Alabama. 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

$11.22

NC $75.86AL $10.00

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.