search again

Ethmoid Sinus Surgery With Tissue Removal Beyond

Nationwide rates for HCPCS 31259

Endoscopic sinus surgery that clears all of the ethmoid air cells between the eyes, front and back, and goes on to open an adjoining sinus and take diseased tissue out of it. It is carried out entirely through the nostril with a thin telescope, so nothing is cut on the face. It is used for extensive, long-standing sinus disease or polyps that keep the drainage pathways blocked.

Rates data updated July 2026.

How much does Ethmoid Sinus Surgery With Tissue Removal Beyond cost?

$6,534

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $6,534 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $5,888 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 59 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$646$479 to $977
Facility feeThe hospital or surgery center$5,888$2,754 to $9,772

How much rates vary

Facilitymedian $5,888 · 10th to 90th $776 to $15,136Professionalmedian $646 · 10th to 90th $407 to $1,820
$200$500$1K$2K$5K$10K$20Kfacility $5,888professional $646

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$4,570.88
Typical High
$12,302.69
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$933.25
Median
$4,365.16
Typical High
$11,220.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$8,912.51
Typical High
$19,952.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,398.83
Typical High
$15,848.93
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$5,754.40
Typical High
$14,454.40

What it costs in each state

The same service costs 13.4 times more in Wisconsin than in Maryland. 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

Touch or drag across the chart to see any state's rate.

WI $13,303MD $991

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.