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Utah 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 $4,169 · 10th–90th $1,862–$10,0000%5%10%10th90th$4,169Professionalmedian $676 · 10th–90th $389–$1,6600%20%10th90th$676$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $4,570.88 / $9,332.54
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,089.30 / $3,890.45 / $6,606.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $13,489.63 / $20,892.96
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$14,791.08 / $20,417.38 / $30,902.95
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $676.08 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $5,128.61 / $14,454.40