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Sinus Scope with Ethmoid Sinus Surgery, Partial

Ohio rates for HCPCS 31254

A thin scope is used to access and remove diseased tissue or bony partitions from the front portion of the ethmoid sinuses, small air-filled spaces between the eyes. It's often done to relieve chronic sinus blockage, infection, or inflammation that hasn't responded to other treatment.

Rates data updated July 2026.

How much does Sinus Scope with Ethmoid Sinus Surgery, Partial cost?

$4,132

Typical total for the visit. In Ohio, July 2026.

Insurers have agreed to pay about $4,132 for this procedure. That total is two separate charges: $417 to the doctor who performs it, and $3,715 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$417$275 to $603
Facility feeThe hospital or surgery center$3,715$1,950 to $7,943

How much rates vary

Facilitymedian $3,715 · 10th to 90th $457 to $12,023Professionalmedian $417 · 10th to 90th $240 to $2,188
$100$1K$10Kfacility $3,715professional $417

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$3,630.78
Typical High
$10,715.19
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,445.44
Median
$4,265.80
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$416.87
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$100.00
Median
$478.63
Typical High
$524.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$131.83
Median
$151.36
Typical High
$346.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,073.80
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$371.54
Median
$537.03
Typical High
$977.24
CareSource
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$239.88
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$416.87
Typical High
$724.44
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$1,548.82
Typical High
$2,344.23
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$416.87
Typical High
$724.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$218.78
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$436.52
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$707.95

Where Ohio sits

The same service costs 27.8 times more in Wisconsin than in Maine. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Ohio· 23rd of 51

$4,132

$417 physician + $3,715 facility

WI $11,625ME $418

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.