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Virginia 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 $3,631 · 10th–90th $589–$12,3030%10%10th90th$3,631Professionalmedian $490 · 10th–90th $407–$1,1480%10%20%10th90th$490$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $4,168.69 / $10,964.78
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,071.52 / $6,309.57 / $16,218.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $12,302.69 / $17,782.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $489.78 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $630.96 / $1,000.00
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $676.08 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $8,511.38 / $17,378.01