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Eye Exam, Established Patient, Intermediate

Colorado rates for HCPCS 92012

This is a medical eye examination for a patient who has previously been seen by the practice, covering a moderate level of evaluation and continuing or adjusting an existing treatment plan. It's typically used for routine follow-up of an existing eye condition rather than a new or highly complex problem.

Rates data updated July 2026.

How much does Eye Exam, Established Patient, Intermediate cost?

$75.86

Typical physician fee. In Colorado, July 2026.

Insurers have agreed to pay about $75.86 for this service. Most negotiated rates run $50.12 to $93.33.

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 $76 · 10th to 90th $43 to $126Professionalmedian $76 · 10th to 90th $41 to $110
$20$50$100$200facility $76professional $76

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
$39.81
Median
$75.86
Typical High
$109.65
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$97.72
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$81.28
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$74.13
Typical High
$131.83
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$75.86
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$131.83
Typical High
$239.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$54.95
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$72.44
Typical High
$134.90

Where Colorado sits

The same service costs 1.9 times more in Montana 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· 28th of 51

$75.86

MT $97.72DE $51.29

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.