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New York rates for HCPCS 31237

Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)

Facilitymedian $3,311 · 10th–90th $288$8,9130%5%10th90th$3,311Professionalmedian $309 · 10th–90th $166$8130%10%10th90th$309$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $2,884.03 / $7,762.47
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$389.05 / $2,884.03 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $309.03 / $776.25
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$316.23 / $501.19 / $1,202.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $9,772.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $208.93 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$239.88 / $309.03 / $1,071.52
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $1,698.24 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $1,819.70 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $416.87 / $1,047.13
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $218.78 / $537.03
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $380.19 / $575.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $323.59 / $645.65
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,019.95 / $6,760.83
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,238.72 / $3,388.44 / $10,232.93
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $380.19 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,467.37 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $288.40 / $707.95
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $173.78 / $660.69
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $316.23 / $645.65