go back

Frontal Sinus Surgery With Bone Flap, Brow Incision

New Mexico rates for HCPCS 31086

An operation on the frontal sinus, the air space in the bone above the eyes, carried out through an incision at the brow rather than through the nostril. A section of the sinus wall is lifted as a hinged flap of bone so the surgeon can clear diseased lining and re-establish drainage, then the bone is laid back into place and the sinus is left open to drain.

Rates data updated July 2026.

How much does Frontal Sinus Surgery With Bone Flap, Brow Incision cost?

$1,660

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $2,042 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 5 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$1,585$1,202 to $1,905
FacilityA hospital or hospital-owned outpatient department$2,042$1,585 to $7,762

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,175 to $12,023Professionalmedian $1,585 · 10th to 90th $1,202 to $6,607
$50$200$1K$5K$20Kfacility $2,042professional $1,585

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. 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
Global
Typical Low
$1,380.38
Median
$2,041.74
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,778.28
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,548.82
Typical High
$2,089.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,659.59
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$2,630.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,659.59
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$11,748.98
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,659.59
Typical High
$2,630.27

Where New Mexico sits

The same service costs 5.2 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.

New Mexico· 33rd of 51

$1,660

CA $6,026DE $1,148

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.