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Psychological Testing Evaluation

Vermont rates for HCPCS 96130

This covers the first block of time a psychologist or other qualified professional spends reviewing and interpreting the results of psychological tests, integrating the findings, and preparing a written report. It's a separate service from actually administering the tests. It's used to help diagnose conditions like depression, anxiety, or other mental health concerns.

Rates data updated October 2026.

How much does Psychological Testing Evaluation cost?

$120

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $112 to $132.

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

Professionalmedian $120 · 10th to 90th $87 to $166
$100professional $120

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
$100.00
Median
$114.82
Typical High
$131.83
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$120.23
Typical High
$123.03
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$162.18
United
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$190.55
2 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
$54.95
Median
$61.66
Typical High
$66.07
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.88
Median
$24.55
Typical High
$26.30

Where Vermont sits

The same service costs 2.3 times more in Alaska than in Kentucky. 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· 24th of 51

$120

AK $219KY $93.33

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.