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Complete Ethmoid Sinus Surgery With Adjoining Sinus

New Hampshire 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?

$4,482

Typical total for the visit. In New Hampshire, October 2026.

Insurers have agreed to pay about $4,482 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $3,631 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$851$661 to $1,122
Facility feeThe hospital or surgery center$3,631$2,291 to $6,166

How much rates vary

Facilitymedian $3,631 · 10th to 90th $2,188 to $10,000Professionalmedian $851 · 10th to 90th $479 to $1,660
$500$1K$2K$5K$10Kfacility $3,631professional $851

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
$478.63
Median
$2,398.83
Typical High
$15,848.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$478.63
Typical High
$616.60
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$8,912.51
Median
$10,000.00
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$851.14
Typical High
$1,659.59
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$851.14
Median
$1,288.25
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$4,677.35
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$776.25
Typical High
$1,479.11
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,511.89
Typical High
$4,466.84
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$812.83
Typical High
$1,698.24
United
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$3,162.28
Typical High
$4,466.84
United
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$794.33
Typical High
$1,698.24
Well Sense
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81

Where New Hampshire sits

The same service costs 8.0 times more in Colorado than in Montana. 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.

Physician feeFacility fee

New Hampshire· 23rd of 51

$4,482

$851 physician + $3,631 facility

CO $11,689MT $1,466

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.