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Medicated Sinus Implant With Tissue Removal

California rates for HCPCS 0407T

A slim telescope is passed into the nose and tissue is cleared from the sinus, such as removing polyps, taking a sample for testing, or clearing away crusting and scar, and then a small implant that slowly releases anti-inflammatory medication is placed into the ethmoid sinus between the eyes. Clearing the sinus and treating the lining are done in the same visit.

Rates data updated October 2026.

How much does Medicated Sinus Implant With Tissue Removal cost?

$589

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $589 for this service. Most negotiated rates run $589 to $8,511.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8,511 · 10th to 90th $4,571 to $16,982Professionalmedian $589 · 10th to 90th $589 to $589
$1K$2K$5K$10K$20Kfacility $8,511professional $589

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$8,511.38
Typical High
$16,982.44
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$407.38
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$588.84
Typical High
$588.84

Where California sits

The same service costs 51286.1 times more in Kentucky than in New Jersey. 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.

California· 5th of 26

$589

KY $70,795NJ $1.38

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.