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Eye Exam, New Patient, Comprehensive

Colorado rates for HCPCS 92004

This is a thorough initial eye examination for a patient new to the practice, including a detailed history, a full exam of the eye's structures and vision, and the start of a treatment or monitoring plan. It's more extensive than a basic vision check and is often used to evaluate new or complex eye concerns.

Rates data updated July 2026.

How much does Eye Exam, New Patient, Comprehensive cost?

$126

Typical physician fee. In Colorado, July 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $91.20 to $158.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $132 · 10th to 90th $79 to $214Professionalmedian $126 · 10th to 90th $69 to $195
$50$100$200facility $132professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$125.89
Typical High
$194.98
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$32.36
Median
$165.96
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$138.04
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$138.04
Typical High
$223.87
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$218.78
Typical High
$398.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$102.33
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$131.83
Typical High
$234.42

Where Colorado sits

The same service costs 1.6 times more in California than in Delaware. 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.

Colorado· 33rd of 51

$126

CA $158DE $97.72

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.