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Endoscopic Sinus Surgery, Total Ethmoidectomy

West Virginia 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?

$2,015

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $2,015 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $1,413 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$603$437 to $851
Facility feeThe hospital or surgery center$1,413$479 to $2,630

How much rates vary

Facilitymedian $1,413 · 10th to 90th $479 to $5,370Professionalmedian $603 · 10th to 90th $380 to $1,288
$50$200$1K$5Kfacility $1,413professional $603

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
$478.63
Median
$478.63
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$478.63
CareSource
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$676.08
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$676.08
Typical High
$1,819.70
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$5,370.32
United
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$19,498.45
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$588.84
Typical High
$1,202.26

Where West Virginia sits

The same service costs 8.9 times more in Colorado than in Montana. 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.

Physician feeFacility fee

West Virginia· 49th of 51

$2,015

$603 physician + $1,413 facility

CO $11,610MT $1,306

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.