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Texas rates for HCPCS 31237

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

Facilitymedian $2,455 · 10th–90th $324–$6,9180%5%10%10th90th$2,455Professionalmedian $263 · 10th–90th $155–$5890%10%20%10th90th$263$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$446.68 / $2,754.23 / $6,918.31
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,698.24 / $3,467.37 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $275.42 / $588.84
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$354.81 / $549.54 / $1,122.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $263.03 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$371.54 / $398.11 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,344.23 / $4,677.35
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $213.80 / $331.13
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,778.28 / $3,981.07
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $218.78 / $363.08
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $295.12 / $537.03
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $28,840.32 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $398.11 / $3,890.45
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$954.99 / $3,467.37 / $19,952.62
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $281.84 / $537.03
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$354.81 / $549.54 / $1,122.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $134.90
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $676.08 / $776.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $302.00 / $588.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $295.12 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $2,041.74 / $4,073.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $245.47 / $426.58
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $269.15 / $269.15