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New York rates for HCPCS 31257

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

Facilitymedian $5,370 · 10th–90th $661–$12,8820%5%10%10th90th$5,370$50.0$200.0$1.0K$5.0K$20.0K

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
$616.60 / $4,365.16 / $11,748.98
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$645.65 / $3,548.13 / $11,220.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $9,772.37 / $18,620.87
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $2,398.83 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $5,754.40 / $53,703.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $501.19 / $1,445.44
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,630.78 / $9,332.54 / $13,489.63
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,897.79 / $11,481.54
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $478.63 / $616.60