go back

Nonstandard Size or Length

Virginia rates for HCPCS L3255

Nonstandard size or length

Rates data updated July 2026.

How much does Nonstandard Size or Length cost?

$19.50

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $19.50 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$19.50$19.50 to $19.50
FacilityA hospital or hospital-owned outpatient department$19.50$19.50 to $25.12

How much rates vary

Facilitymedian $19 · 10th to 90th $19 to $10,000Professionalmedian $19 · 10th to 90th $19 to $25
$20$100$500$2K$10Kfacility $19professional $19

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
$19.50
Median
$19.50
Typical High
$19.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$23.99
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$190.55
Typical High
$190.55
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$23.99
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$28.84
Typical High
$28.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$33.11
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$10,000.00
Typical High
$10,964.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$10,000.00
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95

Where Virginia sits

The same service costs 10.2 times more in California than in Minnesota. 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· 37th of 51

$19.50

CA $162MN $15.85

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.