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$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes Colorado schedules export as CSV with the Rates plan.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Colorado's published schedules by category
Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.
| Category | Codes | Effective | Median % of Medicare | Example rate | PA required |
|---|---|---|---|---|---|
| Physician | 6,772 | 2026 | 86.2% | $76.71 Office visit, established patient, low complexity (20-29 min) (99213) | 353 |
| Lab & Imaging | 794 | 2026 | 90.9% | $36.13 Chest X-ray, 2 views (71046) | 145 |
| DME & Supplies | 2,193 | Jul 2026 | 75.3% | $761.49 Continuous positive airway pressure (cpap) device (E0601) | 1,120 |
| Drugs | 39 | 2026 | -- | -- | -- |
| Vision | 167 | 2026 | 77.9% | $138.50 Eye exam, new patient, comprehensive (92004) | 2 |
| Behavioral Health | 29 | 2026 | 81.2% | $136.66 Psychotherapy, 60 minutes (90837) | -- |
| Anesthesia | 275 | 2026 | -- | -- | -- |
| Hearing | 35 | 2026 | -- | $1,525.02 Hearing aid, digital, binaural, bte (V5261) | -- |
| Transport | 18 | Jul 2026 | -- | $180.88 Ambulance service, basic life support, non-emergency transport, (bls) (A0428) | -- |
| State-Specific Services | 372 | Jul 2026 | 74.5% | $24.42 Telehealth originating site facility fee (Q3014) | 53 |
| Dental | Colorado's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one.
Where Colorado publishes its fee schedules
- Publisher
- Colorado Department of Health Care Policy and Financing (HCPF)
- Program
- Health First Colorado
- Official source
- https://hcpf.colorado.gov/provider-rates-fee-schedule
- Last checked
- Sep 6, 2026
ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.
These are common-procedure samples. The complete Colorado schedules, every category and every code, export as CSV on the Rates plan.
Compare Colorado nationally
Frequently asked questions
Does Colorado publish a Medicaid fee schedule?
Yes. Colorado publishes 10,694 Medicaid fee-for-service procedure rates across 10 service categories, effective through Jul 2026, all collected and normalized here with plain-language procedure names. Colorado Department of Health Care Policy and Financing (HCPF) publishes Colorado's Medicaid fee schedules for Health First Colorado.
Who publishes Colorado's Medicaid fee schedule?
Colorado Department of Health Care Policy and Financing (HCPF) publishes Colorado's Medicaid fee schedules for Health First Colorado. The state's own fee-schedule page is https://hcpf.colorado.gov/provider-rates-fee-schedule. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Sep 6, 2026).
What does Colorado Medicaid pay for common services?
An established-patient office visit (99213) pays $76.71, a CPAP device (E0601) $761.49 and a two-view chest X-ray (71046) $36.13. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.
How do Colorado's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, Colorado's published rates run a median 83.4% of the Medicare amount, ranking 21 of 49 jurisdictions with a comparable basis.
What service categories does Colorado publish?
Physician (6,772 codes), Lab & Imaging (794 codes), DME & Supplies (2,193 codes), Drugs (39 codes), Vision (167 codes), Behavioral Health (29 codes), Anesthesia (275 codes), Hearing (35 codes), Transport (18 codes), State-Specific Services (372 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from Colorado's currently published fee schedules, the newest effective Jul 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.