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Endoscopic Sinus Surgery, Full Ethmoid Clearance

Nebraska rates for HCPCS 31255

This is a minimally invasive procedure performed with a thin lighted scope inserted through the nostril to open and clear the small air-filled spaces between the eyes, known as the ethmoid sinuses. It clears the full depth of these sinus spaces, front and back, rather than just the forward portion. It is generally used for chronic sinus infections or blockages that have not responded to medication.

Rates data updated October 2026.

How much does Endoscopic Sinus Surgery, Full Ethmoid Clearance cost?

$4,440

Typical total for the visit. In Nebraska, October 2026.

Insurers have agreed to pay about $4,440 for this procedure. That total is two separate charges: $724 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$724$603 to $871
Facility feeThe hospital or surgery center$3,715$1,820 to $7,943

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,175 to $11,749Professionalmedian $724 · 10th to 90th $427 to $3,715
$500$1K$2K$5K$10K$20Kfacility $3,715professional $724

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$7,244.36
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$630.96
Typical High
$1,445.44
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$7,413.10
Median
$10,471.29
Typical High
$21,877.62
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$3,715.35
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$3,311.31
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$724.44
Typical High
$977.24
Medica
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$2,570.40
Typical High
$13,803.84
Medica
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$758.58
Typical High
$6,165.95
Midlands
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$724.44
Typical High
$977.24
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$3,467.37
Typical High
$4,570.88
Midlands
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$616.60
Typical High
$707.95
United
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$2,290.87
Typical High
$8,709.64
United
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$707.95
Typical High
$1,122.02

Where Nebraska sits

The same service costs 11.4 times more in Colorado than in Montana. 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

Nebraska· 18th of 51

$4,440

$724 physician + $3,715 facility

CO $11,205MT $980

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.