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Wisconsin rates for HCPCS 31237

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

Facilitymedian $3,890 · 10th–90th $363$7,0790%5%10%10th90th$3,890Professionalmedian $407 · 10th–90th $191$1,3180%5%10th90th$407$50.0$200.0$1.0K$5.0K

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
$218.78 / $549.54 / $7,585.78
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $323.59 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$512.86 / $1,174.90 / $4,265.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $363.08 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$281.84 / $549.54 / $1,513.56
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $794.33 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $501.19 / $912.01
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $851.14 / $4,265.80
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $478.63 / $776.25
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$512.86 / $707.95 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $2,570.40 / $5,754.40
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $501.19 / $3,311.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $436.52
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $3,890.45 / $4,570.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $660.69 / $1,047.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $489.78 / $912.01
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $5,248.07 / $5,248.07
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $776.25 / $3,388.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $630.96
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $954.99 / $1,548.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,630.78 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $398.11 / $977.24
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13