Virginia · G2252

Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic in Virginia

Virginia Medicare Avg
$13.89
26% below national avg
National Medicare Avg
$18.68
All states combined
Billed Charge (VA)
$36.01
What providers submit
Est. Commercial (VA)
$54.89
National avg: $57.51
Est. Cash / Self-Pay (VA)
$28.61
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

17
Services in VA
13
Providers
N/A
Min Payment
N/A
Max Payment

Virginia Pricing in Context

In Virginia, CPT code G2252 (Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic) carries an average Medicare payment of $13.89 — 26% below the national benchmark of $18.68. 13 providers across the state submitted claims for this procedure in 2023, performing 17 total services. Individual payments in VA ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Virginia is $36.01, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Virginia sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in Virginia lands near $54.89, with self-pay cash prices typically around $28.61. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic cost in Virginia?

The average Medicare payment for Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic in Virginia is $13.89, which is 26% below the national average of $18.68. Providers in VA typically bill $36.01 for this procedure.

What does Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic cost with insurance in Virginia?

With commercial insurance in Virginia, Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic costs an estimated $54.89. Without insurance, the estimated cash price is $28.61. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic in Virginia?

13 providers in Virginia billed Medicare for Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic in 2023, performing 17 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic cheaper in Virginia than the national average?

Yes — Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic costs 26% below the national average in Virginia. The state average Medicare payment is $13.89 compared to $18.68 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial