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Complete Ethmoid Sinus Surgery With Adjoining Sinus

Washington, DC rates for HCPCS 31253

Endoscopic sinus surgery that opens all of the ethmoid air cells, the honeycomb of small chambers lying between the eyes, from front to back, and carries on into an adjoining sinus in the same sitting. Everything is done through the nostril with a thin telescope, so there are no cuts on the face. It is used for long-standing sinus disease or polyps that block the drainage pathways and have not responded to medication.

Rates data updated October 2026.

How much does Complete Ethmoid Sinus Surgery With Adjoining Sinus cost?

$589

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $589 for this service. Most negotiated rates run $513 to $1,479.

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.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,413 to $26,915Professionalmedian $589 · 10th to 90th $457 to $5,495
$500$1K$2K$5K$10K$20Kfacility $4,074professional $589

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$3,311.31
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$588.84
Typical High
$1,479.11
CareFirst
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$512.86
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$602.56
Typical High
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$457.09
Typical High
$1,122.02
United
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$7,943.28
Typical High
$27,542.29
United
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$660.69
Typical High
$1,380.38

Where Washington, DC sits

The same service costs 4.1 times more in Oklahoma than in Kentucky. 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.

Washington, DC· 45th of 51

$589

OK $1,995KY $490

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.