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Chronic Kidney Disease Education, Individual

Virginia rates for HCPCS G0420

Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per 1 hour

Rates data updated July 2026.

How much does Chronic Kidney Disease Education, Individual cost?

$115

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $123 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 7 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$115$105 to $135
FacilityA hospital or hospital-owned outpatient department$123$110 to $162

How much rates vary

Facilitymedian $123 · 10th to 90th $98 to $204Professionalmedian $115 · 10th to 90th $89 to $178
$100$200facility $123professional $115

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
$114.82
Median
$114.82
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$109.65
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$190.55
Medcost
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$154.88
Typical High
$162.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$125.89
Typical High
$199.53
Medcost
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$75.86
Typical High
$97.72
Sentara
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$213.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$125.89
Typical High
$208.93

Where Virginia sits

The same service costs 2.0 times more in Minnesota than in Louisiana. 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· 14th of 51

$115

MN $200LA $100

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.