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Surgical Mask

Virginia rates for HCPCS A4928

Surgical mask, per 20

Rates data updated October 2026.

How much does Surgical Mask cost?

$1.26

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $1.26 for this service. The price depends on where it is billed: about $1.26 from a physician practice, and about $4,571 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.26$1.00 to $16.98
FacilityA hospital or hospital-owned outpatient department$4,571$1.26 to $10,233

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1 to $11,482Professionalmedian $1 · 10th to 90th $1 to $17
$1$10$100$1K$10Kfacility $4,571professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.26
Median
$1.26
Typical High
$1.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.26
Median
$1.26
Typical High
$1.26
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.63
Median
$0.63
Typical High
$0.63
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.25
Median
$0.25
Typical High
$0.25
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.19
Median
$0.19
Typical High
$0.19
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.13
Median
$0.13
Typical High
$0.13
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
CareFirst
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$7.08
Typical High
$7.94
Medcost
Setting
Facility
Modifier
None
Typical Low
$1.91
Median
$1.91
Typical High
$1.91
Sentara
Setting
Facility
Modifier
None
Typical Low
$7,413.10
Median
$10,232.93
Typical High
$11,481.54
Sentara
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$4,570.88
United
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$19.50

Where Virginia sits

The same service costs 316.2 times more in Montana than in Arkansas. 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· 41st of 51

$1.26

MT $79.43AR $0.25

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.