go back

Ohio rates for HCPCS 31238

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

Facilitymedian $3,631 · 10th–90th $295$8,9130%10%10th90th$3,631Professionalmedian $309 · 10th–90th $174$6460%10%10th90th$309$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$281.84 / $3,467.37 / $9,549.93
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,548.13 / $3,890.45 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $302.00 / $562.34
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$309.03 / $707.95 / $2,290.87
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,754.23 / $7,943.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $295.12 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$295.12 / $436.52 / $724.44
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $165.96 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $302.00 / $501.19
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $302.00 / $501.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $89.13
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $2,187.76
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $257.04 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,570.40 / $5,495.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $257.04 / $426.58
United
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13