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Complete Ethmoid Sinus Surgery With Adjoining Sinus

South Dakota 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.

Facilitymedian $6,918 · 10th–90th $708$6,9180%50%10th$6,918Professionalmedian $851 · 10th–90th $676$1,0960%20%10th90th$851$500.0$1.0K$2.0K$5.0K$10.0K

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
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$6,918.31
Typical High
$6,918.31
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Avera
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$977.24
Typical High
$5,248.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$3,162.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,096.48
Typical High
$1,148.15
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$831.76
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$14,454.40