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Eye Exam, Established Patient, Intermediate

Vermont rates for HCPCS 92012

This is a medical eye examination for a patient who has previously been seen by the practice, covering a moderate level of evaluation and continuing or adjusting an existing treatment plan. It's typically used for routine follow-up of an existing eye condition rather than a new or highly complex problem.

Rates data updated July 2026.

How much does Eye Exam, Established Patient, Intermediate cost?

$63.10

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $63.10 for this service. Most negotiated rates run $47.86 to $83.18.

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 $204 · 10th to 90th $204 to $204Professionalmedian $63 · 10th to 90th $43 to $91
$50$100$200facility $204professional $63

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$63.10
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$75.86
Typical High
$117.49
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$69.18
Typical High
$125.89

Where Vermont sits

The same service costs 1.9 times more in Montana than in Delaware. 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· 48th of 51

$63.10

MT $97.72DE $51.29

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.