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Burn Care, Small Area

Virginia rates for HCPCS 16020

Cleaning, dressing changes, and/or removal of damaged tissue for a partial-thickness burn covering a small area, generally under about 5% of the body's total skin surface. This can be an initial treatment or a follow-up visit as the burn heals.

Rates data updated July 2026.

How much does Burn Care, Small Area cost?

$526

Typical total for the visit. In Virginia, July 2026.

Insurers have agreed to pay about $526 for this procedure. That total is two separate charges: $89.13 to the doctor who performs it, and $437 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$89.13$64.57 to $120
Facility feeThe hospital or surgery center$437$95.50 to $2,138

How much rates vary

Facilitymedian $437 · 10th to 90th $65 to $5,248Professionalmedian $89 · 10th to 90th $52 to $170
$50$200$1K$5Kfacility $437professional $89

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
$87.10
Median
$489.78
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$85.11
Typical High
$169.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$141.25
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$87.10
Typical High
$138.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$131.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$128.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$79.43
Typical High
$134.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Sentara
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,096.48
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$79.43
Typical High
$131.83

Where Virginia sits

The same service costs 21.6 times more in California than in Maryland. 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.

Physician feeFacility fee

Virginia· 34th of 51

$526

$89.13 physician + $437 facility

CA $3,800MD $176

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.