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Pennsylvania 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 $7,079 · 10th–90th $1,047–$20,4170%5%10%10th90th$7,079$500.0$2.0K$10.0K$50.0K

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
$724.44 / $6,606.93 / $10,715.19
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
$1,288.25 / $9,549.93 / $35,481.34
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $9,772.37 / $33,884.42
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $57,543.99
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $17,378.01 / $28,183.83
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$30,902.95 / $30,902.95 / $53,703.18
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,467.37 / $21,379.62 / $69,183.10
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $7,943.28 / $16,595.87
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $4,265.80 / $9,549.93
Martin's Point
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,288.25 / $28,183.83 / $39,810.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $562.34 / $1,348.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $5,011.87 / $22,387.21