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Michigan rates for HCPCS 31238

Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage

Facilitymedian $2,884 · 10th–90th $234–$4,8980%10%20%10th90th$2,884Professionalmedian $288 · 10th–90th $166–$6030%5%10%10th90th$288$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
$234.42 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $281.84 / $549.54
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$181.97 / $478.63 / $1,862.09
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $371.54 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $251.19 / $371.54
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$398.11 / $398.11 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $251.19 / $389.05
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $6,309.57
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $323.59 / $549.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$181.97 / $467.74 / $1,000.00
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $229.09 / $354.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,951.21 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $281.84 / $426.58
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13