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Surgical Drainage Of The Maxillary Sinus (Caldwell-Luc)

North Carolina rates for HCPCS 31030

This procedure opens the maxillary sinus, the air-filled space behind the cheekbone, through an incision inside the upper lip and gum, giving direct access to clean out infected material or diseased tissue. It is used for sinus problems, such as chronic infection, that have not responded to less invasive treatment. The opening is closed at the end of the procedure once the sinus has been addressed.

Rates data updated July 2026.

How much does Surgical Drainage Of The Maxillary Sinus (Caldwell-Luc) cost?

$759

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $1,549 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 6 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$741$589 to $1,175
FacilityA hospital or hospital-owned outpatient department$1,549$759 to $6,026

How much rates vary

Facilitymedian $1,549 · 10th to 90th $562 to $8,710Professionalmedian $741 · 10th to 90th $501 to $1,660
$500$1K$2K$5K$10K$20Kfacility $1,549professional $741

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
$630.96
Median
$2,187.76
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$933.25
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$891.25
Typical High
$1,479.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$1,230.27
Medcost
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$11,748.98
Typical High
$23,988.33
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$1,348.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$5,370.32

Where North Carolina sits

The same service costs 7.8 times more in California than in Rhode Island. 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.

North Carolina· 37th of 51

$759

CA $4,786RI $617

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.