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Iowa rates for HCPCS 31294

Nasal/sinus endoscopy, surgical, with optic nerve decompression

Facilitymedian $4,898 · 10th–90th $1,820–$12,8820%10%20%10th90th$4,898Professionalmedian $1,698 · 10th–90th $1,122–$3,4670%10%20%10th90th$1,698$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
$1,819.70 / $3,981.07 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,479.11 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,818.38 / $3,467.37
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,137.96 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $5,888.44 / $17,782.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,398.83 / $9,120.11
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,019.95 / $4,365.16
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,235.94 / $3,801.89
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $2,398.83 / $3,090.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $10,232.93 / $18,620.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,995.26 / $3,715.35
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,691.53