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Endoscopic Sinus Surgery With Tissue Removal

Ohio 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?

$4,540

Typical total for the visit. In Ohio, July 2026.

Insurers have agreed to pay about $4,540 for this procedure. That total is two separate charges: $372 to the doctor who performs it, and $4,169 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$372$288 to $525
Facility feeThe hospital or surgery center$4,169$1,995 to $7,413

How much rates vary

Facilitymedian $4,169 · 10th to 90th $468 to $10,715Professionalmedian $372 · 10th to 90th $257 to $3,715
$1$10$100$1K$10Kfacility $4,169professional $372

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
$436.52
Median
$4,168.69
Typical High
$10,232.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$954.99
Median
$2,951.21
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$218.78
Median
$426.58
Typical High
$851.14
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$251.19
Typical High
$288.40
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$141.25
Median
$173.78
Typical High
$416.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,073.80
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$416.87
Median
$562.34
Typical High
$954.99
CareSource
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$288.40
Typical High
$338.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$316.23
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$398.11
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$575.44
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$0.23
Median
$1,348.96
Typical High
$3,235.94
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$575.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$524.81

Where Ohio sits

The same service costs 26.0 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.

Physician feeFacility fee

Ohio· 21st of 51

$4,540

$372 physician + $4,169 facility

WY $14,737DE $566

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.