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California rates for HCPCS 31259

Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus

Facilitymedian $8,511 · 10th–90th $2,951–$16,9820%10%10th90th$8,511Professionalmedian $479 · 10th–90th $389–$1,0000%20%40%10th90th$479$50.0$200.0$1.0K$5.0K$20.0K

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
$2,570.40 / $9,332.54 / $21,379.62
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,238.72 / $9,120.11 / $38,904.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $8,128.31 / $15,848.93
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $7,943.28 / $15,135.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $3,630.78
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $436.52 / $602.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $489.78 / $1,023.29
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $13,803.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $537.03 / $912.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $10,000.00 / $20,417.38