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Surgery in the Space Behind the Upper Jaw

Washington, DC rates for HCPCS 31040

Reaches and operates within the pterygomaxillary fossa, a small deep pocket behind the upper jaw through which important nerves and blood vessels pass on their way toward the base of the skull. The route in may be through the mouth, through the nose, or through a facial incision, depending on what needs to be reached. It is used to remove growths or to control bleeding from the vessels in that space.

Rates data updated October 2026.

How much does Surgery in the Space Behind the Upper Jaw cost?

$1,000

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $1,000 for this service. Most negotiated rates run $832 to $2,188.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,202 to $26,303Professionalmedian $977 · 10th to 90th $759 to $2,818
$1K$2K$5K$10K$20Kfacility $2,818professional $977

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,698.24
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,000.00
Typical High
$1,000.00
CareFirst
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$851.14
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$977.24
Typical High
$2,187.76
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$812.83
Typical High
$1,862.09
United
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$5,754.40
Typical High
$27,542.29
United
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,047.13
Typical High
$2,290.87

Where Washington, DC sits

The same service costs 6.2 times more in Alaska than in Utah. 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.

Washington, DC· 35th of 51

$1,000

AK $3,311UT $537

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.