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Ohio rates for HCPCS 31257

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

Facilitymedian $6,026 · 10th–90th $794–$11,7490%10%10th90th$6,026$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
$676.08 / $5,888.44 / $11,748.98
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,479.11 / $6,025.60 / $11,748.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $5,888.44 / $15,135.61
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $446.68 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $21,379.62
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $8,709.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,754.40 / $10,471.29