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New Jersey rates for HCPCS 31255

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

Facilitymedian $7,762 · 10th–90th $2,754–$12,3030%10%10th90th$7,762Professionalmedian $468 · 10th–90th $309–$3,0200%10%10th90th$468$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$3,019.95 / $8,128.31 / $12,302.69
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,290.87 / $7,079.46 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $426.58 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$575.44 / $1,479.11 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $549.54 / $1,096.48
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $389.05 / $512.86
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $22,387.21 / $35,481.34
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $363.08 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $7,079.46 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $363.08 / $691.83