PayerPriceCheck Local Rates

Otolaryngology reimbursement rates in Vermont

Explore otolaryngology reimbursement rates in Vermont. Public state reference averages appear below. Detailed payer comparisons are available with a state preview.

1,157,116 national provider-rate observations4 payers in national source data50 states in national dataset20 billing codes in national dataset
Rate data shownJun–Jul 2026About these rates
Otolaryngology rate explorerThree reference services
Rate measure$ per reported billing unit
Billing contextProfessional

Vermont otolaryngology reference averages

Publication period: Jun–Jul 2026
CPT 99214

Established patient office visit, level 4

Aetna
$28.11
Cigna
$187.10
United
$242.21
Anthem
$141.61
$ per service
CPT 31231

Diagnostic nasal endoscopy

Aetna
$46.81
Cigna
$406.32
United
$381.14
Anthem
$182.64
$ per service
CPT 31575

Diagnostic flexible laryngoscopy

Aetna
$34.72
Cigna
$287.25
United
$254.61
Anthem
$151.46
$ per service

National otolaryngology rates by payer

Use the reference codes to compare payer benchmarks, then explore office visits; nasal endoscopy; laryngoscopy; audiology; sinus procedures. Each rate represents a specific billing code and comparison cohort, rather than a complete episode of care.

Aetna state variation for 99214

LowerHigher
Alaska: $219.83 Aetna reference averageAKAlabama: $89.74 Aetna reference averageALArkansas: $98.38 Aetna reference averageARArizona: $103.16 Aetna reference averageAZCalifornia: $137.32 Aetna reference averageCAColorado: $157.23 Aetna reference averageCOConnecticut: $143.61 Aetna reference averageCTDistrict of Columbia: No preview availableDCDelaware: $190.42 Aetna reference averageDEFlorida: $112.94 Aetna reference averageFLGeorgia: $148.32 Aetna reference averageGAHawaii: $147.10 Aetna reference averageHIIowa: $119.33 Aetna reference averageIAIdaho: $138.72 Aetna reference averageIDIllinois: $123.70 Aetna reference averageILIndiana: $96.57 Aetna reference averageINKansas: $105.33 Aetna reference averageKSKentucky: $109.80 Aetna reference averageKYLouisiana: $110.03 Aetna reference averageLAMassachusetts: $164.68 Aetna reference averageMAMaryland: $124.86 Aetna reference averageMDMaine: $117.23 Aetna reference averageMEMichigan: $114.69 Aetna reference averageMIMinnesota: $93.68 Aetna reference averageMNMissouri: $112.41 Aetna reference averageMOMississippi: $103.01 Aetna reference averageMSMontanaMTNorth Carolina: $153.42 Aetna reference averageNCNorth Dakota: $127.75 Aetna reference averageNDNebraska: $173.37 Aetna reference averageNENew Hampshire: $128.63 Aetna reference averageNHNew Jersey: $109.72 Aetna reference averageNJNew Mexico: $118.74 Aetna reference averageNMNevada: $113.96 Aetna reference averageNVNew York: $132.81 Aetna reference averageNYOhio: $140.94 Aetna reference averageOHOklahoma: $119.67 Aetna reference averageOKOregon: $191.02 Aetna reference averageORPennsylvania: $133.28 Aetna reference averagePARhode Island: $114.28 Aetna reference averageRISouth Carolina: $107.76 Aetna reference averageSCSouth Dakota: $134.42 Aetna reference averageSDTennessee: $155.39 Aetna reference averageTNTexas: $133.66 Aetna reference averageTXUtah: $100.51 Aetna reference averageUTVirginia: $128.93 Aetna reference averageVAVermont: $28.11 Aetna reference averageVTWashington: $185.33 Aetna reference averageWAWisconsin: $140.61 Aetna reference averageWIWest Virginia: $110.48 Aetna reference averageWVWyomingWY
Vermont
Select a state to reveal payer percentiles and provider examples.

National 99214 rate distribution

Payer
Published rate$ per reported billing unit
$100$120$140$160$180
Median
AetnaJun–Jul 2026
AetnaProviders14,836Average$127.61
$111.01median
CignaJun–Jul 2026
CignaProviders14,246Average$168.14
$152.47median
UnitedJun–Jul 2026
UnitedProviders15,368Average$180.99
$159.14median
AnthemJun–Jul 2026
AnthemProviders13,861Average$194.52
$161.91median

Each marker shows the national median published rate across billing entities for that payer.

National 99214 rates by payer

$ per reported billing unit
PayerRate periodProvider entitiesP25MedianP75P90Average
AetnaJun–Jul 202614,836$111.01$127.61
CignaJun–Jul 202614,246$152.47$168.14
UnitedJun–Jul 202615,368$159.14$180.99
AnthemJun–Jul 202613,861$161.91$194.52
About these rates

How do specific otolaryngology providers compare?

Compare named provider rates with the selected payer's median and percentile distribution.

National: Otolaryngology provider benchmarks (CPT 99214)

6 provider examples
Provider entityStateSize$ per serviceGap to medianPosition in Aetna range
CHILDRENS CLINICS FOR REHABILITATIVE SERVICESNPI 1114990892 · Tax ID 860667510AZ288$70.59-$40.43
Below P25
BANNER-UNIVERSITY MEDICAL GROUPNPI 1528090008 · Tax ID 942958258AZ5,470$87.77-$23.24
Below P25
SHIN C CHIU MD A PROFESSIONAL CORPORATIONNPI 1679645311 · Tax ID 953359718CA2$95.40-$15.61
P25 to median
CALIFORNIA CANCER SPECIALISTS MEDICAL GROUP, INC.NPI 1912006636 · Tax ID 953147370CA9$104.94-$6.07
P25 to median
TRIANGLE PHYSICIAN NETWORK LLCNPI 1477089613 · Tax ID 271081647NC1,883
Median to P75
LAWRENCE MEDICAL ASSOCIATES PCNPI 1225205891 · Tax ID 264076297NY671
Above P75
Need provider rates for a specific state?

Explore otolaryngology services

Compare codes within the same billing context. A reported billing unit may describe a timed service, supply quantity, daily service or procedure; it does not always mean one visit.

GeographyNational
Display
Service line / billing codeAetnaCignaUnitedAnthem
$ per reported billing unit · 15 codes
31237Scope Surgery Of Nose Or Sinus
$337.98$423.07$492.61$537.85
69210Removal of impacted cerumen requiring instrumentation, unilateral
$59.08$76.78$89.64$92.88
92567Tympanom.(Impedance Tsting)
$19.71$26.23$29.02$34.40
95117Multiple-injection immunotherapy administration
$16.77$21.25$20.02$29.81
30117Remove Abnormal Tissue Nose
$979$1,213.73$1,724.63$1,342.21
31579Vocal Cord Vibration Test
$255.15$314.38$370.68$409.04
69706Nose And Throat Surgery
$2,276.74$3,308.86$6,165.77$5,370.30
31296Nasal/Sinus Endoscopy
$1,859.72$2,301.69$3,902.18$4,660.45
92504Binocular Microscopy
$28.47$38.03$52.14$51.59
30469Repair Nasl Vlv Collapse Low Nrg Subq/Sbmcsl Rmdlg
$1,899.21$2,433.05$4,969.20$3,258.75
31231Diagnostic nasal endoscopy
$199.94$258.29$360.97$355.31
31575Diagnostic flexible laryngoscopy
$150.37$187.06$230.85$245.81
31298Nasalsinus Endoscopy Surgica
$2,818.54$3,992.33$6,710.32$6,814.37
31295Nasal/Sinus Endoscopy
$1,545.52$2,043.93$3,553.96$3,482.23
92557Series Of Hearing Tests
$51.53$66.91$68.85$86.46
$ per reported billing unit · 5 codes
99244Office or outpatient consultation, level 4
$206.28$256.51$295.65$305.94
99214Established patient office visit, level 4
$127.61$168.14$180.99$194.52
99213Established patient office visit, level 3
$87.43$114.65$124.92$136.50
99204New patient office visit, level 4
$184.04$242.36$267.56$291.90
99203New patient office visit, level 3
$118.79$156.43$176.38$191.91
Need a comparison for another market or network?

How to interpret these benchmarks

Payer-published rates provide market context. They do not establish a practice's contracted rate or the total cost of care.

  • Source and periodRates come from the specialty's national report. The displayed period follows the processed data included in the latest published snapshot and updates when that snapshot is refreshed.
  • Comparable ratesComparisons use positive professional fee-for-service negotiated and fee-schedule dollar amounts. Percentages, bundled arrangements and per-diem rate types are excluded. Modifier cohorts and code-specific amounts remain separate.
  • CalculationRates are reduced to one modal value per NPI and TIN entity, averaging tied modes. Two percent per tail is targeted for trimming while keeping boundary ties. Benchmarks require at least 10 included entities and are not weighted by patient volume.
  • CoverageNational report coverage does not guarantee every payer or state is available for every code. Anthem represents the displayed Anthem cohort, rather than all regional Blue plans. Missing benchmarks are not zero rates.
  • Billing contextMatch the exact code, billing unit, modifier, setting and network. Equipment rentals and supplies require their own interval and quantity checks. Professional rates exclude facility charges; anesthesia conversion factors are outside these comparisons.

Get the otolaryngology reimbursement data you're looking for

Choose the services, payers, states, networks, and provider entities relevant to your question. We'll confirm the available coverage and prepare the comparison.

  • Tell us your marketShare the specialty, geography, payers, networks, and providers.
  • We find comparable ratesPayerPrice aligns billing codes, services, settings, and units.
  • Get your market viewSee relevant payer and provider rates organized around your question.
Talk it through with a reimbursement analyst

We'll tell you what the data can support, where the gaps are, and the clearest way to structure the comparison.

Book a 20-min market review No prep or data upload required.

Trusted by teams that need defensible reimbursement data

Buy and Bill
Acadia
Bold Steps Behavioral Health
ApolloMD
Psychiatric Alternatives & Wellness Center
EDPMA
Healthcare Leaders Association of New Jersey

Explore otolaryngology rates by state

Choose a state to compare payer reference averages for common services.

Questions about otolaryngology benchmarks

How to interpret the selected market and payer-published rates.

What does the national benchmark compare?

The headline uses Established patient office visit, level 4 (99214). The other reference codes and service lines provide separate comparisons rather than combining unlike services.

Why is a payer or state missing?

A benchmark appears only when the selected code and cohort meet the publication rules, including at least 10 entities after trimming. Report-wide coverage can be broader than an individual comparison.

Will the reporting period change?

Yes. The period displayed with the benchmark follows the processed source data when the publication snapshot is refreshed.