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Colorado

Cost of a Septoplasty Visit
in Colorado

Reviewed by Momentary Medical Group West PC

Colorado's healthcare market runs approximately 8% above national averages, driven by the state's competitive ambulatory surgery center landscape centered in the Denver metro area. Septoplasty patients typically pay between $526 and $1,567, with a median out-of-pocket cost of $855 based on negotiated insurance rates from over 1,300 active providers. Colorado maintains a robust network of ENT specialists and facial plastic surgeons across both urban corridors and mountain communities, allowing patients to browse multiple qualified providers throughout the state.

Average

$983

Median

$855

Lowest

$526

Highest

$1,567

Providers

1,308

National avg: $921Colorado: $983

7% above national average

Compare Similar Procedures

How does septoplasty compare to related procedures in Colorado?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,136$2,049$3,4751,282
Hip Replacement

Total hip replacement (arthroplasty)

27130$940$1,978$3,3281,345
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$85$808$2,1141,468
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$452$805$1,3261,321
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$90$940$1,6351,256
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$85$789$1,4211,461
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,202$2,2041,315
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$385$6941,441
Inguinal Hernia Repair

Inguinal hernia repair

49505$441$712$1,2421,269
Mastectomy

Partial or simple mastectomy

19301$85$877$1,5611,292
Carpal Tunnel Surgery

Open carpal tunnel release

64721$364$629$1,1101,293

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 30520Septoplasty or submucous resection). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 30520 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 30520 (Septoplasty or submucous resection), as mandated by the CMS Price Transparency Rule.

What CPT 30520 covers: the provider's professional fee for septoplasty. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in Colorado

These hospitals in Colorado are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
92% would recommend191 patient surveys
5/5
85% would recommend182 patient surveys
5/5
82% would recommend337 patient surveys
5/5
80% would recommend215 patient surveys
5/5
77% would recommend107 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why Septoplasty Visit Costs Vary Across Colorado

Colorado's healthcare costs run approximately 8% above national averages, influenced by the state's high cost of living and concentrated medical markets along the Front Range urban corridor. The competitive ambulatory surgery center landscape, particularly around Denver, creates both premium pricing and innovative cost-saving options for septoplasty patients.

Urban vs. Rural Provider Availability

The Denver-Boulder metropolitan area hosts the majority of Colorado's ENT specialists, while mountain communities and the Eastern Plains rely on traveling surgeons or require patients to travel for specialized nasal procedures. This geographic concentration drives higher costs in metro areas but also provides more competitive pricing options.

Facility Type and Overhead Costs

Hospital-affiliated ENT practices like those within UCHealth, Presbyterian/Saint Joseph, and SCL Health systems often charge facility fees that independent surgical centers avoid. Colorado's numerous ambulatory surgery centers, particularly in the Denver area, frequently offer septoplasty at 30-50% less than hospital outpatient departments.

Insurance Market Competition in Colorado

UnitedHealthcare, Anthem, and Kaiser Permanente dominate Colorado's market, creating competitive negotiated rates for septoplasty procedures. The state's relatively competitive insurance landscape means providers must offer reasonable pricing to maintain broad network participation, benefiting patients with multiple coverage options.

Physician Supply and Demand in Colorado

With over 1,300 active providers performing septoplasty procedures, Colorado maintains adequate specialist availability relative to its population of 5.8 million residents. This healthy supply-demand balance helps moderate pricing pressures while ensuring reasonable wait times for non-urgent nasal surgeries, particularly in the Front Range corridor.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Septoplasty Costs in Colorado

What is the average cost of a Septoplasty visit in Colorado without insurance?

Uninsured septoplasty patients in Colorado typically pay between $526 and $1,567, with a median cost of $855 for the consultation and initial evaluation. Many ENT practices offer self-pay discounts of 20-40% when payment is made upfront. The actual surgical procedure, if recommended, would involve additional costs for the facility, anesthesia, and post-operative care.

Does Colorado Medicaid cover Septoplasty visits?

Yes, Colorado's expanded Medicaid program covers septoplasty consultations and procedures when medically necessary for breathing problems or chronic sinus issues. Prior authorization is typically required, and you may need documentation showing that conservative treatments like nasal sprays or allergy medications have been unsuccessful. Coverage includes both the consultation and the surgical procedure if recommended by your ENT specialist.

How do I find an affordable Septoplasty near me in Colorado?

Compare costs between hospital-based ENT clinics and independent surgical practices, as independents often charge 30-50% less. Ask about self-pay discounts if you're uninsured, and consider community health centers in Denver, Colorado Springs, or other major cities. Ambulatory surgery centers frequently offer more affordable options than hospital outpatient departments for septoplasty procedures.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial septoplasty consultations typically cost $526-1,567 in Colorado and involve comprehensive nasal examination, imaging review, and treatment planning. Follow-up visits after septoplasty surgery are usually less expensive, ranging from $150-400, focusing on healing assessment and post-operative care. Most insurance plans cover both types of visits, though copays may differ between new patient and established patient visits.

Can I use an HSA or FSA to pay for a Septoplasty visit in Colorado?

Yes, both HSA and FSA funds can be used for septoplasty consultations and procedures in Colorado since these address medical breathing problems rather than purely cosmetic concerns. Keep all receipts and documentation showing the medical necessity of your nasal surgery. If the septoplasty includes cosmetic improvements, only the medically necessary portion qualifies for tax-advantaged account reimbursement.

How does telemedicine affect the cost of seeing a Septoplasty in Colorado?

While initial septoplasty consultations require in-person nasal examination and cannot be conducted via telemedicine, some Colorado ENT practices offer virtual follow-up appointments after surgery at reduced costs of $75-150. Pre-operative consultations and post-operative check-ins may be partially conducted through telehealth, potentially reducing overall care costs. However, the diagnostic examination and surgical procedure itself must be performed in person.

Click a state to compare costs

Average Visit Cost

$343
$1,865

Office visit (CPT 30520)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $95$4,419
$1,865
2Massachusetts
Range: $456$2,788
$1,415
3Nebraska
Range: $765$1,627
$1,273
4Wyoming
Range: $714$1,996
$1,260
5Rhode Island
Range: $555$2,160
$1,256
6Georgia
Range: $499$2,190
$1,213
7Iowa
Range: $549$1,627
$1,201
8New Hampshire
Range: $563$1,719
$1,178
9Maine
Range: $811$1,346
$1,156
10Connecticut
Range: $432$2,160
$1,124
11Delaware
Range: $449$2,160
$1,112
12Pennsylvania
Range: $434$2,160
$1,104
13New York
Range: $466$2,160
$1,084
14District of Columbia
Range: $461$1,588
$1,036
15California
Range: $80$2,160
$1,020
16North Carolina
Range: $500$1,710
$1,012
17New Mexico
Range: $566$1,494
$996
18Colorado
Range: $526$1,567
$983
19Utah
Range: $90$1,485
$981
20West Virginia
Range: $461$1,698
$980
21Vermont
Range: $500$1,577
$966
22North Dakota
Range: $381$1,627
$952
23Kentucky
Range: $435$1,627
$951
24Washington
Range: $80$1,793
$910
25South Carolina
Range: $466$1,422
$856
26South Dakota
Range: $90$1,627
$855
27Oregon
Range: $80$1,641
$855
28Minnesota
Range: $91$1,627
$842
29Illinois
Range: $512$1,289
$828
30Maryland
Range: $461$1,395
$824
31Alabama
Range: $433$1,315
$812
32Mississippi
Range: $471$1,357
$808
33Tennessee
Range: $516$1,155
$801
34Arkansas
Range: $433$1,074
$798
35New Jersey
Range: $406$1,411
$794
36Virginia
Range: $433$1,298
$792
37Missouri
Range: $573$954
$783
38Oklahoma
Range: $500$1,200
$774
39Kansas
Range: $569$981
$772
40Hawaii
Range: $80$1,376
$771
41Idaho
Range: $80$1,422
$762
42Indiana
Range: $90$1,472
$748
43Michigan
Range: $532$1,072
$746
44Nevada
Range: $463$1,103
$731
45Louisiana
Range: $399$1,133
$723
46Arizona
Range: $498$1,072
$701
47Ohio
Range: $357$1,116
$688
48Texas
Range: $90$1,309
$679
49Alaska
Range: $80$1,251
$470
50Montana
Range: $80$920
$360
51Florida
Range: $35$938
$343
Septoplasty in Other States