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Sinus Surgery to Open the Cheek Sinus

Iowa rates for HCPCS 31256

Using a thin telescope passed up the nostril, the surgeon enlarges the natural drainage opening of the maxillary sinus, the air pocket behind the cheek, so mucus can escape and the sinus can ventilate properly. No cuts are made on the face. It is used for repeated or long-standing sinus infection that has not settled with medication.

Rates data updated July 2026.

How much does Sinus Surgery to Open the Cheek Sinus cost?

$3,631

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $3,631 for this service. Most negotiated rates run $525 to $6,310.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,365 · 10th to 90th $372 to $8,913Professionalmedian $427 · 10th to 90th $178 to $1,202
$200$500$1K$2K$5K$10Kfacility $4,365professional $427

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
$371.54
Median
$3,981.07
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,884.03
Median
$5,011.87
Typical High
$5,011.87
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$354.81
Typical High
$1,202.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$3,019.95
Typical High
$9,549.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$446.68
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$6,456.54
Typical High
$9,772.37

Where Iowa sits

The same service costs 8709.6 times more in Indiana than in Maine. 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.

Iowa· 21st of 51

$3,631

IN $8,128ME $0.93

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.