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Endoscopic Sinus Surgery, Full Ethmoid Clearance

Ohio 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 July 2026.

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

$7,375

Typical total for the visit. In Ohio, July 2026.

Insurers have agreed to pay about $7,375 for this procedure. That total is two separate charges: $457 to the doctor who performs it, and $6,918 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$457$347 to $692
Facility feeThe hospital or surgery center$6,918$2,884 to $10,233

How much rates vary

Facilitymedian $6,918 · 10th to 90th $501 to $12,589Professionalmedian $457 · 10th to 90th $316 to $6,026
$1.0$10.0$100.0$1.0K$10.0Kfacility $6,918professional $457

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$7,943.28
Typical High
$12,589.25
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,819.70
Median
$4,073.80
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$512.86
Median
$933.25
Typical High
$4,265.80
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$416.87
Median
$416.87
Typical High
$478.63
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,365.16
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$870.96
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$524.81
Median
$724.44
Typical High
$1,288.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$323.59
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$457.09
Typical High
$707.95
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,041.74
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$724.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$5,623.41
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$660.69

Where Ohio sits

The same service costs 25.0 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeOhio $7,375 · 14th of 51
IN $13,916MD $557

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.