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Pennsylvania rates for HCPCS 31276

Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed

Facilitymedian $4,677 · 10th–90th $724–$18,6210%5%10%10th90th$4,677$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$562.34 / $4,073.80 / $10,471.29
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,348.96 / $5,370.32 / $26,302.68
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $10,000.00 / $58,884.37
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $7,585.78 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $16,218.10 / $38,904.51
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,445.44 / $12,589.25 / $37,153.52
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
$467.74 / $3,090.30 / $8,317.64
Martin's Point
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$14,791.08 / $19,498.45 / $39,810.72
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $9,332.54 / $19,054.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $467.74 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $5,011.87 / $22,387.21