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Endoscopic Sinus Surgery, Total Ethmoidectomy

Washington, DC rates for HCPCS 31257

Sinus surgery carried out through the nostrils with a thin telescope, so there are no cuts on the face. The surgeon opens up the honeycomb of small air cells between the eyes, front and back, taking away the thin walls between them so the sinuses can drain freely. It is done for long-standing sinus infection, polyps or blockage that medicines have not settled.

Rates data updated October 2026.

How much does Endoscopic Sinus Surgery, Total Ethmoidectomy cost?

$537

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $537 for this service. Most negotiated rates run $457 to $1,318.

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 $3,981 · 10th to 90th $1,096 to $26,915Professionalmedian $525 · 10th to 90th $407 to $5,495
$500$1K$2K$5K$10K$20Kfacility $3,981professional $525

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$2,137.96
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$524.81
Typical High
$1,258.93
CareFirst
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$457.09
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$537.03
Typical High
$1,174.90
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$407.38
Typical High
$1,000.00
United
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$7,943.28
Typical High
$27,542.29
United
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$588.84
Typical High
$1,230.27

Where Washington, DC sits

The same service costs 6.3 times more in Oklahoma than in New York. 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.

Washington, DC· 45th of 51

$537

OK $2,818NY $447

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.