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Complete Ethmoid Sinus Surgery Through Nose

New Jersey rates for HCPCS 31201

Clears the honeycomb of small air cells that sit between the eyes, working entirely through the nostrils with no cut on the face. All of those cells are opened rather than only the front group, so the whole area drains freely. It is done for long-standing sinus disease or polyps that have not settled with medicines.

Rates data updated July 2026.

How much does Complete Ethmoid Sinus Surgery Through Nose cost?

$9,189

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $9,189 for this procedure. That total is two separate charges: $871 to the doctor who performs it, and $8,318 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$871$741 to $1,288
Facility feeThe hospital or surgery center$8,318$5,888 to $10,471

How much rates vary

Facilitymedian $8,318 · 10th to 90th $3,467 to $12,303Professionalmedian $871 · 10th to 90th $631 to $6,026
$1K$2K$5K$10Kfacility $8,318professional $871

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
$4,365.16
Median
$8,511.38
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$870.96
Typical High
$11,481.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,023.29
Typical High
$1,949.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,023.29
Typical High
$1,348.96
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$5,011.87
Typical High
$7,585.78
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,128.61
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$1,584.89

Where New Jersey sits

The same service costs 7.2 times more in California 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

New Jersey· 5th of 50

$9,189

$871 physician + $8,318 facility

CA $11,166WV $1,553

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.