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Disability Evaluation by the Treating Doctor

Vermont rates for HCPCS 99455

A dedicated visit in which the doctor already treating the patient assesses a work-related injury or disability claim: reviewing the history and records, examining the patient, forming an opinion on capability and restrictions, and completing the required reports and forms. It is separate from ordinary treatment of the condition itself.

Rates data updated October 2026.

How much does Disability Evaluation by the Treating Doctor cost?

$126

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $126 to $126.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $126 · 10th to 90th $85 to $182
$100$200professional $126

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
$85.11
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$41.69
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.59
Median
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.51
Median
$12.59
Typical High
$12.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$199.53

Where Vermont sits

The same service costs 6.6 times more in Illinois than in Missouri. 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· 9th of 51

$126

IL $295MO $44.67

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.