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Georgia rates for HCPCS 31296

Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium

Facilitymedian $4,677 · 10th–90th $1,622–$9,7720%10%10th90th$4,677Professionalmedian $1,660 · 10th–90th $191–$5,3700%5%10%10th90th$1,660$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
$1,479.11 / $5,370.32 / $7,413.10
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $1,445.44 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$5,248.07 / $5,495.41 / $5,754.40
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$169.82 / $251.19 / $4,265.80
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
$263.03 / $1,621.81 / $5,623.41
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$398.11 / $2,454.71 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $512.86 / $4,365.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $1,621.81 / $3,090.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$5.62 / $5.62 / $48.98
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,311.31 / $4,677.35
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
$204.17 / $1,778.28 / $5,370.32