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Endoscopic Repair of Spinal Fluid Leak

Vermont rates for HCPCS 31290

Seals a leak of cerebrospinal fluid, the clear fluid that cushions the brain, where it escapes through a small defect at the base of the skull and drains into the nose. Working through the nostrils with a thin lighted telescope, the surgeon closes the defect with tissue or a graft, avoiding an open incision on the head or face.

Rates data updated October 2026.

How much does Endoscopic Repair of Spinal Fluid Leak cost?

$1,585

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,585 for this service. Most negotiated rates run $1,413 to $1,738.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $776 · 10th to 90th $468 to $776Professionalmedian $1,585 · 10th to 90th $912 to $2,570
$500$1K$2K$5Kfacility $776professional $1,585

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$1,698.24
Typical High
$1,778.28
United
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
United
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,584.89
Typical High
$2,818.38

Where Vermont sits

The same service costs 5.9 times more in Alaska than in Utah. 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.

Vermont· 25th of 51

$1,585

AK $4,571UT $776

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.