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Georgia rates for HCPCS 31295

Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa

Facilitymedian $5,370 · 10th–90th $2,138–$10,2330%10%10th90th$5,370Professionalmedian $1,738 · 10th–90th $166–$4,3650%5%10%10th90th$1,738$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$2,089.30 / $5,370.32 / $7,413.10
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,818.38 / $3,548.13 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $1,584.89 / $3,311.31
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,737.80 / $3,090.30 / $5,370.32
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,122.02 / $2,137.96 / $2,137.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $5,011.87 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $1,621.81 / $3,388.44
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$338.84 / $2,398.83 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $446.68 / $3,630.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $1,621.81 / $3,019.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Typical Low / Median / Typical High
$10.00 / $10.00 / $97.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$4.90 / $4.90 / $48.98
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,311.31 / $4,570.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $5,248.07 / $8,511.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $1,737.80 / $3,715.35