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Michigan rates for HCPCS 31254

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

Facilitymedian $2,399 · 10th–90th $331$11,7490%10%10th90th$2,399Professionalmedian $389 · 10th–90th $204$7080%10%10th90th$389$1.0$5.0$20.0$100.0$500.0$2.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$933.25 / $3,019.95 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $398.11 / $691.83
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$100.00 / $363.08 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $549.54 / $691.83
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$575.44 / $575.44 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $363.08 / $660.69
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $2,041.74 / $6,918.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$933.25 / $2,398.83 / $9,332.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $416.87 / $758.58
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$100.00 / $323.59 / $1,819.70
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $323.59 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,754.40 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $346.74 / $616.60