go back

Sphenoid Sinus Surgery (Sinusotomy)

Texas rates for HCPCS 31050

Opens the sphenoid sinus, an air pocket in the skull sitting deep behind the nose, so that trapped fluid or infection can drain. A small piece of the sinus lining may also be taken at the same time and sent for laboratory examination.

Rates data updated July 2026.

How much does Sphenoid Sinus Surgery (Sinusotomy) cost?

$891

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $3,715 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 10 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$603$525 to $759
FacilityA hospital or hospital-owned outpatient department$3,715$1,820 to $6,918

How much rates vary

Facilitymedian $3,715 · 10th to 90th $708 to $12,882Professionalmedian $603 · 10th to 90th $468 to $912
$500$1K$2K$5K$10K$20Kfacility $3,715professional $603

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
$707.95
Median
$2,818.38
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$588.84
Typical High
$891.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$7,762.47
Typical High
$14,791.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$588.84
Typical High
$812.83
Christus
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$1,047.13
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$28,840.32
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$7,079.46
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$1,122.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$870.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$1,148.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$6,025.60
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$831.76
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$457.09
Typical High
$645.65

Where Texas sits

The same service costs 8.7 times more in California 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.

Texas· 19th of 51

$891

CA $4,365DE $501

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.