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Dye Injection Into the Jaw Joint for Imaging

Vermont rates for HCPCS 21116

Injects contrast dye into the joint in front of the ear where the lower jaw meets the skull, so that X-ray images can show the joint space, the cushioning disc, and any leak between compartments. This covers the injection itself; the imaging is done separately. The skin is numbed and the needle is placed with the jaw positioned to open the joint space.

Rates data updated October 2026.

How much does Dye Injection Into the Jaw Joint for Imaging cost?

$182

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $182 for this service. Most negotiated rates run $79.43 to $324.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $182 · 10th to 90th $51 to $417
$50$100$200$500$1Kprofessional $182

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$53.70
Typical High
$181.97
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.23
Median
$10.72
Typical High
$36.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$239.88
Typical High
$380.19
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$489.78
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$204.17
Typical High
$549.54
4 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.70
Median
$26.92
Typical High
$91.20
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$38.02
Median
$39.81
Typical High
$138.04
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.76
Median
$7.94
Typical High
$27.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.13
Median
$5.37
Typical High
$18.20

Where Vermont sits

The same service costs 5.8 times more in Washington than in Virginia. 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.

Vermont· 21st of 51

$182

WA $331VA $57.54

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.