CPT 99205, as published
The retained monetary negotiated-rate facts that specific Cigna Colorado July 2026 files published for CPT 99205 — one annotated record, then all of them. Part of Anatomy of a Published Healthcare Rate.
- amount
- $246.02
- The published number. USD is a contract assumption — the source schema does not state a currency.
- billing_code
- CPT 99205 (2026)
- The procedure code the file attached to this fact. The slice omits modifiers, so the code alone does not fully specify the service.
- service_name
- OFFICE O/P NEW HI 60 MIN
- The service name exactly as the file published it.
- negotiated_type
- fee schedule
- What the payer calls this number. “Fee schedule” and “negotiated” facts are different kinds of statements and are never mixed silently here.
- billing_class
- professional
- Professional and institutional facts describe different billing contexts.
- service_codes
- 20 CMS place-of-service codes
- Broad CMS place-of-service context — not a specific care setting.
- provider_group_id
- provider-group-003322
- A release-scoped opaque source context. It is not a provider identity, and it cannot be counted as one.
- expiration_date
- 9999-12-31
- Expiration lineage as published; 9999-12-31 is the source's open-ended sentinel.
- source lineage
- Cigna · CO · reporting month 2026-07
- Published in one of 8 in-network files for this boundary; plan attribution was not observed in this slice.
record sha256:0016c0c928306fde8ba8e1d1a190c8391bf7edb47a3b6726c9ef355080e16827
professional · fee schedule — 1,721 retained facts
institutional · fee schedule — 20 retained facts
First 40 of 1,741 retained facts for CPT 99205, in record-key order
| record | amount | negotiated type | billing class | provider group | expires |
|---|---|---|---|---|---|
| 0016c0c928… | $246.02 | fee schedule | professional | 003322 | 9999-12-31 |
| 0017d7cb11… | $206.00 | fee schedule | professional | 007525 | 9999-12-31 |
| 0048f40a38… | $187.83 | fee schedule | professional | 005931 | 9999-12-31 |
| 0075c6d899… | $184.65 | fee schedule | professional | 006305 | 9999-12-31 |
| 00aa4655a4… | $217.05 | fee schedule | professional | 002221 | 9999-12-31 |
| 00b7131374… | $243.48 | fee schedule | professional | 000481 | 9999-12-31 |
| 011add2b1f… | $383.00 | fee schedule | professional | 006828 | 9999-12-31 |
| 01285366aa… | $344.47 | fee schedule | professional | 005775 | 9999-12-31 |
| 01376f77de… | $266.77 | fee schedule | professional | 005317 | 9999-12-31 |
| 0153e50fcb… | $286.34 | fee schedule | professional | 000197 | 9999-12-31 |
| 017a8b1017… | $302.40 | fee schedule | professional | 006532 | 9999-12-31 |
| 018cfa415f… | $203.00 | fee schedule | professional | 001726 | 9999-12-31 |
| 01a82e1b81… | $337.13 | fee schedule | professional | 001082 | 9999-12-31 |
| 01d53f7670… | $273.55 | fee schedule | professional | 003643 | 9999-12-31 |
| 01fd5a820e… | $262.21 | fee schedule | professional | 001636 | 9999-12-31 |
| 022e730afb… | $164.04 | fee schedule | professional | 003498 | 9999-12-31 |
| 0266ef585e… | $251.00 | fee schedule | professional | 008666 | 9999-12-31 |
| 026dff31c8… | $178.58 | fee schedule | professional | 005358 | 9999-12-31 |
| 027cdb018e… | $344.47 | fee schedule | professional | 005996 | 9999-12-31 |
| 02b482c265… | $214.00 | fee schedule | professional | 007963 | 9999-12-31 |
| 02ba64915d… | $253.12 | fee schedule | professional | 000908 | 9999-12-31 |
| 02f7cff64b… | $211.30 | fee schedule | professional | 005177 | 9999-12-31 |
| 030bbd6720… | $167.89 | fee schedule | professional | 004916 | 9999-12-31 |
| 0315c9f79e… | $170.42 | fee schedule | professional | 007084 | 9999-12-31 |
| 031d0e42ae… | $191.00 | fee schedule | professional | 002842 | 9999-12-31 |
| 0334dd8312… | $172.17 | fee schedule | professional | 000374 | 9999-12-31 |
| 033cbd9f1f… | $370.00 | fee schedule | professional | 008496 | 9999-12-31 |
| 0371c76504… | $257.96 | fee schedule | professional | 001275 | 9999-12-31 |
| 037736cca8… | $345.61 | fee schedule | professional | 003977 | 9999-12-31 |
| 037fb362f8… | $404.06 | fee schedule | professional | 003987 | 9999-12-31 |
| 0381c12366… | $189.07 | fee schedule | professional | 005417 | 9999-12-31 |
| 03a4554f2f… | $311.36 | fee schedule | professional | 004149 | 9999-12-31 |
| 03a951e7e1… | $265.26 | fee schedule | professional | 008147 | 9999-12-31 |
| 03af236449… | $312.89 | fee schedule | professional | 000457 | 9999-12-31 |
| 03bbe9e061… | $278.06 | fee schedule | professional | 005972 | 9999-12-31 |
| 03c9f34308… | $336.00 | fee schedule | professional | 007060 | 9999-12-31 |
| 03e6049729… | $265.33 | fee schedule | professional | 006266 | 9999-12-31 |
| 03e9516fb1… | $230.00 | fee schedule | professional | 003287 | 9999-12-31 |
| 03edf930b8… | $239.00 | fee schedule | professional | 008031 | 9999-12-31 |
| 03ffc43389… | $208.00 | fee schedule | professional | 001510 | 9999-12-31 |
Data: Transparency in Coverage pricing slice v0, pipeline release
b69ad4fd10fb, imported with verified
SHA-256 content hashes recorded in
release.json.