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PalinGen or PalinGen XPlus

Virginia rates for HCPCS Q4173

PalinGen or PalinGen XPlus, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does PalinGen or PalinGen XPlus cost?

$355

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $363 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$355$347 to $646
FacilityA hospital or hospital-owned outpatient department$363$347 to $427

How much rates vary

Facilitymedian $363 · 10th to 90th $209 to $631Professionalmedian $355 · 10th to 90th $126 to $813
$200$500$1Kfacility $363professional $355

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
$346.74
Median
$363.08
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$446.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,148.15
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$1,023.29
Medcost
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$812.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$346.74
Typical High
$776.25
Sentara
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$457.09
Typical High
$588.84
Sentara
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$457.09
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$158.49

Where Virginia sits

The same service costs 1.6 times more in Montana 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· 8th of 51

$355

MT $380MN $234

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.