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Prolonged Preventive Service, First 30 Minutes

Vermont rates for HCPCS G0513

Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service)

Rates data updated October 2026.

How much does Prolonged Preventive Service, First 30 Minutes cost?

$79.43

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $60.26 to $91.20.

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 $79 · 10th to 90th $60 to $93
$50$100professional $79

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
$54.95
Median
$74.13
Typical High
$79.43
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$27.54
Median
$37.15
Typical High
$39.81
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$91.20
Typical High
$91.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$91.20
Typical High
$104.71
United
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$87.10
Typical High
$95.50

Where Vermont sits

The same service costs 2.8 times more in Alaska than in Alabama. 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· 14th of 51

$79.43

AK $155AL $54.95

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.