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Sinus Surgery to Open the Cheek Sinus

North Dakota 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.

Facilitymedian $977 · 10th–90th $178$5,0120%20%10th90th$977$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
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$186.21
Typical High
$8,511.38
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$977.24
Median
$3,467.37
Typical High
$3,467.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.81
Median
$251.19
Typical High
$4,073.80
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$0.65
Median
$0.83
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,128.61
Typical High
$5,128.61