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New Jersey rates for HCPCS 31296

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

Facilitymedian $6,457 · 10th–90th $2,138–$10,9650%10%10th90th$6,457Professionalmedian $1,549 · 10th–90th $166–$4,3650%5%10%10th90th$1,549$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
$2,754.23 / $6,456.54 / $10,964.78
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,318.26 / $1,380.38 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $1,659.59 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$123.03 / $123.03 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $1,122.02 / $5,623.41
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $1,905.46 / $3,090.30
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $22,387.21 / $35,481.34
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $1,778.28 / $4,466.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $7,079.46 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $1,174.90 / $3,801.89