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Complete Ethmoid Sinus Surgery With Adjoining Sinus

Georgia 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 July 2026.

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

$5,370

Typical facility fee. In Georgia, July 2026.

Insurers have agreed to pay about $5,370 for this service. Most negotiated rates run $3,467 to $7,586.

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 $5,370 · 10th to 90th $2,138 to $10,471Professionalmedian $513 · 10th to 90th $427 to $3,715
$500$1K$2K$5K$10K$20Kfacility $5,370professional $513

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$2,884.03
Median
$5,370.32
Typical High
$9,549.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,981.07
Median
$4,466.84
Typical High
$7,244.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$5,495.41
Typical High
$11,220.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$3,715.35
Kaiser Permanente
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$5,248.07
Typical High
$8,511.38

Where Georgia sits

The same service costs 26.3 times more in Indiana than in Maryland. 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.

Georgia· 18th of 50

$5,370

IN $16,218MD $617

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.