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Washington, DC 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 $6,310 · 10th–90th $1,202–$8,9130%20%10th90th$6,310Professionalmedian $427 · 10th–90th $407–$1,0470%20%40%10th90th$427$500.0$1.0K$2.0K$5.0K$10.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $4,786.30 / $7,079.46
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,951.21 / $6,918.31 / $10,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $426.58 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $14,454.40 / $34,673.69