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Sinus Surgery With Sphenoid Tissue Removal

Virginia 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?

$3,802

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $3,802 for this service. Most negotiated rates run $363 to $7,943.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,802 · 10th to 90th $275 to $10,965Professionalmedian $257 · 10th to 90th $191 to $537
$200$500$1K$2K$5K$10Kfacility $3,802professional $257

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$4,897.79
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$12,302.69
Typical High
$17,782.79
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$588.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$537.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$549.54
Sentara
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$8,912.51
Typical High
$17,782.79

Where Virginia sits

The same service costs 63.1 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.

Virginia· 24th of 51

$3,802

WY $14,125DE $224

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.