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Open Exploration Of The Abdomen

Vermont rates for HCPCS 49000

The abdomen is opened through an incision so the surgeon can look directly at the organs inside and find the cause of pain, bleeding, infection, or an abnormal scan. Tissue samples may be taken during the same operation if something suspicious is found. It is used when the diagnosis cannot be settled by scans or less invasive tests.

Rates data updated October 2026.

How much does Open Exploration Of The Abdomen cost?

$1,122

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,122 for this service. Most negotiated rates run $1,000 to $1,288.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,188 · 10th to 90th $468 to $2,188Professionalmedian $1,096 · 10th to 90th $813 to $1,514
$500$1K$2Kfacility $2,188professional $1,096

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$812.83
Typical High
$1,122.02
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,288.25
Typical High
$1,288.25
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,995.26
United
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
United
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,071.52
Typical High
$1,548.82

Where Vermont sits

The same service costs 5.6 times more in Alaska than in Utah. 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· 19th of 51

$1,122

AK $3,090UT $550

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.