Sinus Surgery With Sphenoid Tissue Removal

Nationwide rates for HCPCS 31288

A thin scope is passed through the nostril to open the sphenoid sinus, an air pocket sitting deep behind the nose, and diseased tissue such as polyps or thickened lining is taken out from inside it. It is used for long-standing sinus disease or blockage that has not cleared with medicine. Everything is done through the nose, so there are no cuts on the face.

Rates data updated July 2026.

How much does Sinus Surgery With Sphenoid Tissue Removal cost?

$5,587

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $5,587 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $5,248 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

6% physician fee94% facility fee

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 56 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$339	$240 to $479
Facility feeThe hospital or surgery center	The hospital or surgery center	$5,248	$2,344 to $9,550

How much rates vary

Facilitymedian $5,248 · 10th to 90th $537 to $14,791Professionalmedian $339 · 10th to 90th $204 to $851

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $416.87 Median $3,801.89 Typical High $10,964.78	Facility	Global	$416.87	$3,801.89	$10,964.78
Aetna Setting Facility Modifier 50 · Both sides Typical Low $501.19 Median $1,348.96 Typical High $4,570.88	Facility	50 · Both sides	$501.19	$1,348.96	$4,570.88
BCBS Setting Facility Modifier Global Typical Low $3,090.30 Median $8,317.64 Typical High $19,054.61	Facility	Global	$3,090.30	$8,317.64	$19,054.61
Cigna Setting Facility Modifier Global Typical Low $354.81 Median $1,862.09 Typical High $17,782.79	Facility	Global	$354.81	$1,862.09	$17,782.79
United Setting Facility Modifier Global Typical Low $1,862.09 Median $5,754.40 Typical High $14,454.40	Facility	Global	$1,862.09	$5,754.40	$14,454.40

What it costs in each state

The same service costs 14.2 times more in Wisconsin than in Oregon. 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

Touch or drag across the chart to see any state's rate.

WI $12,524OR $885

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.