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Wisconsin rates for HCPCS 31257

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

Facilitymedian $11,749 · 10th–90th $1,318–$19,9530%10%20%10th90th$11,749Professionalmedian $955 · 10th–90th $490–$1,7780%20%10th90th$955$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
$371.54 / $537.03 / $9,332.54
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$371.54 / $2,041.74 / $12,589.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $13,803.84 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,318.26 / $2,089.30
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $4,265.80 / $7,762.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $7,585.78 / $13,803.84
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$0.65 / $1,348.96 / $2,951.21
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $8,709.64 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $954.99 / $1,778.28
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $13,803.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,232.93 / $13,182.57