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
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$3,311.31
Typical High
$7,413.10
Facility
None
$588.84
$3,311.31
$7,413.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$588.84
Typical High
$1,479.11
Professional
None
$537.03
$588.84
$1,479.11
CareFirst
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$512.86
Typical High
$9,549.93
Professional
None
$457.09
$512.86
$9,549.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$602.56
Typical High
$1,318.26
Professional
None
$501.19
$602.56
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$457.09
Typical High
$1,122.02
Professional
None
$436.52
$457.09
$1,122.02
United
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$7,943.28
Typical High
$27,542.29
Facility
None
$1,737.80
$7,943.28
$27,542.29
United
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$660.69
Typical High
$1,380.38
Professional
None
$467.74
$660.69
$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.