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Colorado rates for HCPCS 28531

Open treatment of sesamoid fracture, with or without internal fixation

Facilitymedian $10,965 · 10th–90th $2,570–$33,8840%5%10th90th$10,965Professionalmedian $309 · 10th–90th $174–$5500%10%10th90th$309$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $5,495.41 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $309.03 / $537.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $20,417.38 / $38,904.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $263.03 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $5,011.87 / $15,848.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $354.81 / $630.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $338.84 / $1,096.48
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $331.13 / $354.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $5,623.41 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $354.81 / $630.96