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Ethmoid Sinus Surgery With Tissue Removal Beyond

Kentucky 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?

$1,288

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $1,288 for this service. Most negotiated rates run $692 to $8,511.

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.

How much rates vary

Facilitymedian $1,288 · 10th to 90th $447 to $10,715
$500$1K$2K$5K$10Kfacility $1,288

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
$446.68
Median
$851.14
Typical High
$10,471.29
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$851.14
Median
$3,467.37
Typical High
$4,677.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$10,715.19
Typical High
$11,220.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$707.95
Typical High
$707.95
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
$741.31
Median
$4,677.35
Typical High
$8,511.38

Where Kentucky sits

The same service costs 41.7 times more in Indiana than in Delaware. 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.

Kentucky· 42nd of 51

$1,288

IN $19,055DE $457

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.