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New York rates for HCPCS 31255

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

Facilitymedian $5,248 · 10th–90th $562$12,8820%10%10th90th$5,248Professionalmedian $479 · 10th–90th $302$1,2020%10%20%10th90th$479$1.0$10.0$100.0$1.0K$10.0K

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
$489.78 / $3,981.07 / $11,481.54
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$204.17 / $4,570.88 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $426.58 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$263.03 / $630.96 / $2,511.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $9,772.37 / $18,620.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $338.84 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$398.11 / $512.86 / $1,548.82
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $2,630.27 / $12,302.69
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $17,378.01 / $20,892.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $691.83 / $1,548.82
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $537.03 / $1,995.26
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $389.05 / $588.84
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $398.11 / $676.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $7,079.46 / $7,943.28
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,698.24 / $11,748.98 / $13,489.63
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $426.58 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,897.79 / $11,481.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $457.09 / $1,258.93
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $346.74 / $1,513.56
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $389.05 / $1,047.13