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Nationwide rates for HCPCS 31253

Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed

Facilitymedian $5,888 · 10th–90th $955–$14,7910%10%20%10th90th$5,888Professionalmedian $692 · 10th–90th $427–$1,9950%20%10th90th$692$0.2$5.0$100.0$2.0K$50.0K$1.0M

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
$812.83 / $4,897.79 / $12,302.69
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$53,703.18 / $53,703.18 / $53,703.18
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,230.27 / $6,165.95 / $15,488.17
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $8,511.38 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,778.28 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $5,754.40 / $14,454.40

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