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Pennsylvania rates for HCPCS 31267

Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus

Facilitymedian $3,981 · 10th–90th $589$11,2200%5%10%10th90th$3,981Professionalmedian $339 · 10th–90th $200$1,0470%10%20%10th90th$339$10.0$50.0$200.0$1.0K$5.0K$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
$524.81 / $4,570.88 / $10,964.78
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$53,703.18 / $53,703.18 / $53,703.18
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$676.08 / $3,162.28 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $323.59 / $831.76
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$173.78 / $407.38 / $1,096.48
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $8,912.51 / $29,512.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $6,606.93 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $338.84 / $537.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$346.74 / $512.86 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $363.08 / $537.03
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $380.19
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $354.81 / $562.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $12,882.50 / $26,302.68
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$2,344.23 / $24,547.09 / $33,884.42
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$645.65 / $3,019.95 / $19,952.62
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $7,943.28 / $28,183.83
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $2,951.21 / $8,511.38
Martin's Point
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,511.89 / $20,892.96 / $39,810.72
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $338.84 / $724.44
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $13,803.84 / $22,908.68
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $446.68 / $660.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $416.87 / $467.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $416.87 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,981.07 / $22,387.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $316.23 / $537.03