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Scoliosis Progression Risk Score From Saliva

Colorado rates for HCPCS 0004M

Estimates how likely a curve of the spine, known as scoliosis, is to get worse. It examines 53 inherited genetic markers in a saliva sample and combines them into a single risk score rather than reporting each marker separately.

Rates data updated July 2026.

How much does Scoliosis Progression Risk Score From Saliva cost?

$148

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $219 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$47.86$33.11 to $56.23
FacilityA hospital or hospital-owned outpatient department$219$132 to $331

How much rates vary

Facilitymedian $219 · 10th to 90th $79 to $398Professionalmedian $48 · 10th to 90th $33 to $79
$50$100$200$500facility $219professional $48

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
Facility
Modifier
Global
Typical Low
$81.28
Median
$275.42
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$53.70
Typical High
$79.43
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$234.42
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$33.11
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$51.29
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$114.82
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$117.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$112.20
Select Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$144.54
Typical High
$165.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$87.10
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$58.88

Where Colorado sits

The same service costs 4.3 times more in Alaska 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· 2nd of 51

$148

AK $178DE $41.69

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.