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Maine rates for HCPCS 31255

Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)

Facilitymedian $3,548 · 10th–90th $0–$5,3700%20%10th90th$3,548Professionalmedian $417 · 10th–90th $339–$7240%20%10th90th$417$0.5$5.0$50.0$500.0$5.0K

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
$363.08 / $977.24 / $4,168.69
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$0.38 / $3,548.13 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $398.11 / $707.95
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $467.74 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$426.58 / $707.95 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $524.81 / $707.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $416.87 / $630.96
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $398.11
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $398.11 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $524.81 / $758.58