go back

Synthetic Mesh Reinforcement Of The Abdominal Wall

Virginia rates for HCPCS 0437T

Places a sheet of synthetic mesh to strengthen the tough tissue layer of the abdominal wall. It is performed alongside a primary operation and charged in addition to it. The primary procedure is charged separately.

Rates data updated July 2026.

How much does Synthetic Mesh Reinforcement Of The Abdominal Wall cost?

$302

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $427 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$295$257 to $331
FacilityA hospital or hospital-owned outpatient department$427$316 to $2,089

How much rates vary

Facilitymedian $427 · 10th to 90th $275 to $5,754Professionalmedian $295 · 10th to 90th $214 to $490
$100$200$500$1K$2K$5K$10Kfacility $427professional $295

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
$302.00
Median
$3,630.78
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$295.12
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$398.11
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$302.00
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$489.78
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$707.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$117.49
Typical High
$199.53
Medcost
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$316.23
Typical High
$478.63
Sentara
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$363.08
Typical High
$1,047.13
Sentara
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$363.08
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$776.25
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$562.34

Where Virginia sits

The same service costs 6.9 times more in California than in Kentucky. 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

$302

CA $1,778KY $257

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.