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Anesthesia for Nose and Sinus Procedures

Pennsylvania rates for HCPCS 00164

Covers the anesthesia care given during a procedure on the nose and the air-filled sinuses around it. The anesthesia clinician provides the anesthetic, protects the airway — important here because blood and irrigation fluid drain toward the throat — and monitors breathing, heart rhythm and blood pressure until the patient is awake again. The surgeon's work on the nose or sinuses is a separate service and is billed separately.

Rates data updated July 2026.

How much does Anesthesia for Nose and Sinus Procedures cost?

$50.12

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $324 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 8 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$50.12$30.20 to $316
FacilityA hospital or hospital-owned outpatient department$324$30.20 to $398

How much rates vary

Facilitymedian $324 · 10th to 90th $30 to $447Professionalmedian $50 · 10th to 90th $30 to $447
$50$100$200$500$1Kfacility $324professional $50

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
$30.20
Median
$323.59
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$41.69
Typical High
$436.52
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$257.04
Typical High
$380.19
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$407.38
Typical High
$724.44
Johns Hopkins Employer Health Plan
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Johns Hopkins Employer Health Plan
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$275.42
Typical High
$371.54
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$323.59
Typical High
$416.87
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$302.00
Typical High
$446.68
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$15.85
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$64.57
Typical High
$707.95

Where Pennsylvania sits

The same service costs 14.5 times more in New York 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.

Pennsylvania· 31st of 51

$50.12

NY $437DE $30.20

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.