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Endoscopic Sinus Surgery, Full Ethmoid Clearance

New Hampshire 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?

$4,193

Typical total for the visit. In New Hampshire, October 2026.

Insurers have agreed to pay about $4,193 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $3,631 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$562$427 to $741
Facility feeThe hospital or surgery center$3,631$2,291 to $5,888

How much rates vary

Facilitymedian $3,631 · 10th to 90th $2,188 to $10,000Professionalmedian $562 · 10th to 90th $339 to $1,072
$500$1K$2K$5K$10Kfacility $3,631professional $562

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$3,890.45
Typical High
$15,848.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$363.08
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$8,912.51
Median
$10,000.00
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$562.34
Typical High
$1,071.52
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$549.54
Median
$831.76
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$4,265.80
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$588.84
Typical High
$954.99
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,511.89
Typical High
$4,466.84
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$549.54
Typical High
$1,096.48
United
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$3,162.28
Typical High
$4,466.84
United
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$562.34
Typical High
$1,096.48
Well Sense
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81

Where New Hampshire 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

New Hampshire· 22nd of 51

$4,193

$562 physician + $3,631 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.