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Additional Time Monitoring Donor Lungs On A Machine

Virginia rates for HCPCS 0496T

Continued monitoring and assessment of donor lungs on a perfusion circuit beyond the initial period. The same measurements and assessments are repeated and recorded as the run continues, and each further period of monitoring is counted separately.

Rates data updated July 2026.

How much does Additional Time Monitoring Donor Lungs On A Machine cost?

$288

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $2,818 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 6 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$269$102 to $288
FacilityA hospital or hospital-owned outpatient department$2,818$316 to $5,888

How much rates vary

Facilitymedian $2,818 · 10th to 90th $275 to $8,318Professionalmedian $269 · 10th to 90th $69 to $490
$100$200$500$1K$2K$5K$10Kfacility $2,818professional $269

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
$288.40
Median
$5,248.07
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$275.42
Typical High
$288.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$112.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$295.12
Typical High
$363.08
Medcost
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$288.40
Typical High
$489.78
Sentara
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$5,623.41
Sentara
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,388.44
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$346.74
Typical High
$562.34

Where Virginia sits

The same service costs 19.1 times more in Colorado than in North Dakota. 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· 27th of 51

$288

CO $3,311ND $174

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.