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Virginia rates for HCPCS 0231U

Rates data updated July 2026.

How much does HCPCS 0231U cost?

$692

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $1,230 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 8 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$631$355 to $724
FacilityA hospital or hospital-owned outpatient department$1,230$776 to $1,862

How much rates vary

Facilitymedian $1,230 · 10th to 90th $631 to $3,631Professionalmedian $631 · 10th to 90th $339 to $1,096
$500$1K$2K$5Kfacility $1,230professional $631

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
$630.96
Median
$1,621.81
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$691.83
Typical High
$1,621.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$4,466.84
Typical High
$5,248.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$562.34
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$724.44
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,089.30
Typical High
$4,365.16
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$933.25
Typical High
$1,174.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,445.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,778.28
Sentara
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$977.24
Typical High
$1,949.84
Sentara
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$977.24
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$426.58
Typical High
$977.24

Where Virginia sits

The same service costs 3.7 times more in Alaska than in Wyoming. 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.

Virginia· 32nd of 51

$692

AK $1,905WY $513

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.