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Sinus Scope with Biopsy or Tissue Removal

West Virginia rates for HCPCS 31237

A thin scope with a light and camera is passed through the nostril to examine the nasal passages and sinuses, and a small tissue sample is taken, a polyp is removed, or damaged tissue is cleared away during the same visit. It's used both to diagnose nasal or sinus problems and to treat certain findings on the spot.

Rates data updated July 2026.

How much does Sinus Scope with Biopsy or Tissue Removal cost?

$302

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $3,715 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$251$182 to $316
FacilityA hospital or hospital-owned outpatient department$3,715$1,096 to $5,495

How much rates vary

Facilitymedian $3,715 · 10th to 90th $240 to $5,623Professionalmedian $251 · 10th to 90th $158 to $575
$200$500$1K$2K$5K$10Kfacility $3,715professional $251

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
$239.88
Median
$3,715.35
Typical High
$5,623.41
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$575.44
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$478.63
Median
$794.33
Typical High
$831.76
CareSource
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$213.80
CareSource
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$239.88
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$288.40
Typical High
$1,445.44
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$5,370.32
Typical High
$12,022.64
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,073.80
Median
$6,606.93
Typical High
$23,988.33
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,511.89
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$257.04
Typical High
$457.09

Where West Virginia sits

The same service costs 9.3 times more in Hawaii than in Rhode Island. 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.

West Virginia· 39th of 51

$302

HI $1,905RI $204

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.