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Complete Ethmoid Sinus Removal Through an Incision

Virginia rates for HCPCS 31205

Removes the ethmoid air cells, a honeycomb cluster of small sinus chambers sitting between the eye sockets, in full. The surgeon reaches them through an incision on the outside of the nose rather than working upward through the nostril. It is used when disease in those sinuses is extensive enough that a route through the nose will not do.

Rates data updated July 2026.

How much does Complete Ethmoid Sinus Removal Through an Incision cost?

$3,631

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $3,631 for this service. Most negotiated rates run $1,230 to $6,166.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,023 to $8,913Professionalmedian $1,096 · 10th to 90th $832 to $2,188
$1K$2K$5K$10Kfacility $3,890professional $1,096

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
$1,148.15
Median
$5,011.87
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$2,630.27
Medcost
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,380.38
Typical High
$2,187.76
Medcost
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,230.27
Typical High
$1,862.09
Sentara
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,202.26
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,456.54
Typical High
$13,489.63

Where Virginia sits

The same service costs 11.0 times more in South Carolina 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.

Virginia· 27th of 50

$3,631

SC $9,772WV $891

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.