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Endoscopic Sinus Surgery With Tissue Removal

Washington, DC rates for HCPCS 31267

A thin scope is passed through the nostril to open the drainage passage of the cheek sinus and remove diseased tissue, such as polyps or thickened lining, from inside the sinus itself. It is typically performed for chronic sinus infections or nasal polyps that haven't responded to other treatment.

Rates data updated July 2026.

How much does Endoscopic Sinus Surgery With Tissue Removal cost?

$537

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $537 for this service. Most negotiated rates run $309 to $2,512.

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 $3,090 · 10th to 90th $676 to $7,762Professionalmedian $309 · 10th to 90th $288 to $550
$500$1K$2K$5K$10K$20Kfacility $3,090professional $309

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
$676.08
Median
$2,511.89
Typical High
$6,456.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,000.00
Median
$2,089.30
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$309.03
Typical High
$549.54
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$512.86
Median
$616.60
Typical High
$616.60
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$4,073.80
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$676.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$245.47
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$14,454.40
Typical High
$37,153.52
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$691.83

Where Washington, DC sits

The same service costs 13.8 times more in Wyoming 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.

Washington, DC· 25th of 51

$537

WY $4,266DE $309

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.