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Pennsylvania rates for HCPCS 31257

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

Facilitymedian $6,166 · 10th–90th $832–$15,1360%5%10th90th$6,166$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$660.69 / $5,754.40 / $11,220.18
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,238.72 / $6,760.83 / $29,512.09
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $8,912.51 / $58,884.37
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $14,791.08 / $25,703.96
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$489.78 / $6,165.95 / $30,902.95
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $7,762.47 / $28,183.83
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $4,073.80 / $9,549.93
Martin's Point
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,511.89 / $18,197.01 / $39,810.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $501.19 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $5,011.87 / $22,387.21