Cost of a Pregnancy Ultrasound Visit
in Vermont
Reviewed by Momentary Medical Group West PC
Vermont's small but stable healthcare market serves a population with one of the nation's lowest uninsured rates, thanks to robust Medicaid expansion and strong community health networks. Pregnancy Ultrasound visits in Vermont show considerable variation, with negotiated rates ranging from $42 to $341 and a median cost of $124 based on insurer contract data. The Green Mountain State maintains 337 active Pregnancy Ultrasound providers across its rural and urban communities, giving patients multiple options when browsing providers throughout Vermont.
Average
$169
Median
$124
Lowest
$42
Highest
$341
Providers
337
12% above national average
Compare Similar Procedures
How does ob ultrasound compare to related procedures in Vermont?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $106 | $347 | $801 | 334 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $317 | $537 | $1,042 | 337 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $333 | $553 | $1,096 | 337 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $211 | $362 | $673 | 325 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $273 | $476 | $907 | 339 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $11 | $18 | $73 | 352 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $61 | $171 | $471 | 348 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 76805 — Ultrasound, pregnant uterus, complete). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 76805 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 76805 (Ultrasound, pregnant uterus, complete), as mandated by the CMS Price Transparency Rule.
What CPT 76805 covers: the provider's professional fee for ob ultrasound. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Why Pregnancy Ultrasound Visit Costs Vary Across Vermont
Vermont's healthcare costs run approximately 15% above the national average, reflecting the state's rural geography, small population base, and limited provider competition in specialized services. The Green Mountain State's scattered population across mountainous terrain creates unique challenges for healthcare delivery, with Burlington serving as the primary medical hub while rural areas rely on smaller practices and telemedicine options.
Urban vs. Rural Provider Availability
Burlington and the Chittenden County area concentrate most of Vermont's specialized Pregnancy Ultrasound services, with the University of Vermont Medical Center anchoring the region's healthcare infrastructure. Rural counties often have limited local specialist options, requiring patients to travel significant distances or rely on visiting specialists who rotate through smaller communities. This geographic disparity creates both access challenges and cost variations based on location.
Facility Type and Overhead Costs
Hospital-based outpatient clinics in Vermont, particularly those affiliated with UVM Medical Center and Dartmouth-Hitchcock, typically charge higher facility fees due to their overhead and emergency readiness requirements. Independent specialty practices often offer more competitive rates but may have limited availability in rural areas. The state's critical access hospitals in smaller communities may charge differently due to their unique funding and operational structures.
Insurance Market Competition in Vermont
Vermont's insurance market is dominated by BCBS Vermont and MVP Health Care, creating a relatively concentrated environment with limited competition compared to larger states. This concentration can lead to stronger negotiated rates with providers but may also limit patient choice in coverage options. The state's small market size means insurers have significant influence over provider networks and reimbursement rates.
Physician Supply and Demand in Vermont
With 337 active Pregnancy Ultrasound providers serving Vermont's population of roughly 645,000 residents, the state maintains reasonable access to specialized care despite its rural nature. However, provider distribution favors urban areas, creating potential shortages in remote counties that can drive up costs and extend wait times. The state's aging physician workforce and challenges recruiting specialists to rural areas continue to impact both availability and pricing across different regions.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Pregnancy Ultrasound Costs in Vermont
What is the average cost of a Pregnancy Ultrasound visit in Vermont without insurance?
Does Vermont Medicaid cover Pregnancy Ultrasound visits?
How do I find an affordable Pregnancy Ultrasound near me in Vermont?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Pregnancy Ultrasound visit in Vermont?
How does telemedicine affect the cost of seeing a Pregnancy Ultrasound in Vermont?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 76805)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Alaska Range: $51 – $991 | $457 |
| 2 | Washington Range: $51 – $991 | $378 |
| 3 | Montana Range: $51 – $991 | $370 |
| 4 | Idaho Range: $50 – $591 | $242 |
| 5 | Wisconsin Range: $68 – $502 | $222 |
| 6 | Maine Range: $79 – $272 | $177 |
| 7 | Nebraska Range: $82 – $329 | $176 |
| 8 | Wyoming Range: $51 – $331 | $175 |
| 9 | Iowa Range: $58 – $329 | $174 |
| 10 | Vermont Range: $42 – $341 | $169 |
| 11 | New Hampshire Range: $57 – $317 | $168 |
| 12 | District of Columbia Range: $39 – $342 | $166 |
| 13 | Rhode Island Range: $50 – $328 | $164 |
| 14 | Georgia Range: $50 – $319 | $163 |
| 15 | New York Range: $36 – $328 | $158 |
| 16 | Massachusetts Range: $52 – $328 | $153 |
| 17 | Pennsylvania Range: $43 – $328 | $152 |
| 18 | New Mexico Range: $48 – $292 | $149 |
| 19 | Connecticut Range: $45 – $328 | $148 |
| 20 | Utah Range: $51 – $241 | $145 |
| 21 | Colorado Range: $51 – $275 | $143 |
| 22 | Nevada Range: $76 – $221 | $143 |
| 23 | California Range: $52 – $287 | $143 |
| 24 | Indiana Range: $45 – $280 | $142 |
| 25 | North Carolina Range: $44 – $272 | $141 |
| 26 | Hawaii Range: $54 – $230 | $137 |
| 27 | Delaware Range: $54 – $216 | $136 |
| 28 | Illinois Range: $45 – $257 | $134 |
| 29 | Texas Range: $46 – $237 | $126 |
| 30 | Oregon Range: $68 – $236 | $124 |
| 31 | Kentucky Range: $44 – $229 | $122 |
| 32 | New Jersey Range: $35 – $244 | $121 |
| 33 | Maryland Range: $37 – $231 | $119 |
| 34 | South Carolina Range: $43 – $221 | $118 |
| 35 | Michigan Range: $42 – $216 | $115 |
| 36 | Tennessee Range: $48 – $189 | $114 |
| 37 | Virginia Range: $36 – $215 | $112 |
| 38 | Arkansas Range: $49 – $188 | $111 |
| 39 | West Virginia Range: $50 – $215 | $111 |
| 40 | Ohio Range: $32 – $211 | $110 |
| 41 | Arizona Range: $51 – $178 | $107 |
| 42 | Missouri Range: $46 – $165 | $104 |
| 43 | Minnesota Range: $68 – $175 | $103 |
| 44 | Alabama Range: $39 – $189 | $103 |
| 45 | Kansas Range: $48 – $165 | $103 |
| 46 | Mississippi Range: $38 – $189 | $102 |
| 47 | Oklahoma Range: $42 – $175 | $101 |
| 48 | North Dakota Range: $68 – $157 | $97 |
| 49 | Florida Range: $35 – $192 | $96 |
| 50 | Louisiana Range: $38 – $159 | $88 |
| 51 | South Dakota Range: $68 – $117 | $84 |
