go back

California rates for HCPCS 31254

Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)

Facilitymedian $7,943 · 10th–90th $2,951$16,9820%10%10th90th$7,943Professionalmedian $355 · 10th–90th $135$1,0720%10%10th90th$355$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$3,235.94 / $8,912.51 / $19,054.61
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,344.23 / $9,549.93 / $25,118.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $331.13 / $870.96
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$102.33 / $204.17 / $1,230.27
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$3,311.31 / $3,311.31 / $3,311.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $8,128.31 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $562.34 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$398.11 / $630.96 / $954.99
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $5,754.40 / $11,748.98
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $426.58 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $416.87 / $1,071.52
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $288.40 / $691.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $457.09 / $812.83
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $4,677.35
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $616.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $457.09 / $794.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $416.87 / $1,000.00
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $4,265.80
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $1,380.38
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $389.05 / $512.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $7,762.47 / $15,848.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $389.05 / $977.24