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Surgical Opening Of Several Sinuses, One Side

Massachusetts rates for HCPCS 31090

Surgically opens several of the air-filled sinus cavities on one side of the face, which may include those behind the forehead, in the cheek, between the eyes, and deep behind the nose, so they can drain and ventilate again. It is done for long-standing sinus disease, infection, or a growth that has not settled with medicines. Treating several sinuses in one operation is what makes this the more extensive version.

Rates data updated July 2026.

How much does Surgical Opening Of Several Sinuses, One Side cost?

$4,919

Typical total for the visit. In Massachusetts, July 2026.

Insurers have agreed to pay about $4,919 for this procedure. That total is two separate charges: $1,288 to the doctor who performs it, and $3,631 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,288$1,072 to $2,399
Facility feeThe hospital or surgery center$3,631$2,818 to $5,495

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,380 to $7,762Professionalmedian $1,288 · 10th to 90th $871 to $3,090
$1K$2K$5K$10Kfacility $3,631professional $1,288

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
$2,570.40
Median
$3,630.78
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,071.52
Typical High
$2,884.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$6,309.57
Typical High
$16,595.87
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,513.56
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,905.46
Typical High
$3,162.28
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,548.82
Typical High
$4,897.79
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,445.44
Typical High
$1,995.26
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,862.09
Typical High
$3,162.28
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$6,309.57
Typical High
$16,595.87
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,513.56
Typical High
$9,772.37
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,309.57
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$2,041.74
Typical High
$3,890.45

Where Massachusetts sits

The same service costs 7.6 times more in Indiana than in West Virginia. 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.

Physician feeFacility fee

Massachusetts· 38th of 50

$4,919

$1,288 physician + $3,631 facility

IN $16,207WV $2,119

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.