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Basic Peripheral Vision Test

Vermont rates for HCPCS 92081

This is a test that maps out how much a patient can see to the sides while looking straight ahead, at a simpler level than a full, detailed peripheral vision map. It is used to screen for vision loss caused by conditions like glaucoma or certain neurological problems.

Rates data updated July 2026.

Professionalmedian $20 · 10th–90th $14$450%10%10th90th$20$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$33.88
Typical High
$53.70
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.80
Median
$15.49
Typical High
$19.50
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$15.85
Median
$18.62
Typical High
$35.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$39.81
Typical High
$75.86
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.18
Median
$16.60
Typical High
$37.15
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.38
Median
$20.89
Typical High
$39.81
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$46.77
Typical High
$120.23
MVP Health Care
Setting
Professional
Modifier
26 · Professional part
Typical Low
$15.14
Median
$22.91
Typical High
$57.54
MVP Health Care
Setting
Professional
Modifier
TC · Technical part
Typical Low
$16.98
Median
$16.98
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$45.71
Typical High
$70.79
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.72
Median
$21.88
Typical High
$33.88
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$12.02
Median
$23.99
Typical High
$42.66