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Wisconsin rates for HCPCS 31255

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

Facilitymedian $11,482 · 10th–90th $724–$19,9530%10%20%10th90th$11,482Professionalmedian $617 · 10th–90th $324–$2,1380%10%10th90th$617$1.0$5.0$20.0$100.0$500.0$2.0K$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
$0.87 / $446.68 / $4,265.80
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$851.14 / $12,589.25 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $416.87 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$512.86 / $2,041.74 / $5,248.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $12,882.50 / $21,877.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $616.60 / $1,659.59
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$467.74 / $933.25 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $954.99 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $1,000.00 / $1,122.02
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $5,248.07 / $9,549.93
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $794.33 / $977.24
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$851.14 / $1,174.90 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $7,079.46 / $13,803.84
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $707.95 / $6,165.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $537.03
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $8,511.38 / $9,120.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $954.99 / $1,258.93
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $691.83 / $1,288.25
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $13,803.84 / $13,803.84
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $1,698.24 / $6,165.95
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,737.80 / $1,905.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,232.93 / $13,182.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $588.84 / $1,412.54