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Surgical Opening of the Sphenoid Sinus

Vermont rates for HCPCS 31051

Surgery that opens the sphenoid sinus, an air space set deep behind the nose beneath the base of the brain, so that it can be drained and diseased lining cleared out. It is used for infection or other disease in that sinus which has not settled with medicine.

Rates data updated July 2026.

How much does Surgical Opening of the Sphenoid Sinus cost?

$794

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $794 for this service. Most negotiated rates run $794 to $871.

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

Professionalmedian $794 · 10th to 90th $776 to $1,318
$500$1K$2Kprofessional $794

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
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$891.25
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$2,884.03

Where Vermont sits

The same service costs 10.0 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.

Vermont· 47th of 51

$794

CA $6,918DE $692

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.