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Wisconsin rates for HCPCS 31296

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

Facilitymedian $11,482 · 10th–90th $3,311–$19,9530%20%10th90th$11,482Professionalmedian $1,585 · 10th–90th $204–$6,3100%5%10%10th90th$1,585$1.0$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
$213.80 / $3,311.31 / $10,471.29
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$0.95 / $2,454.71 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $1,148.15 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$123.03 / $363.08 / $676.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $12,882.50 / $21,877.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $1,949.84 / $7,244.36
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$436.52 / $2,884.03 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,370.32 / $8,511.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $812.83 / $6,025.60
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $3,388.44 / $5,754.40
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $588.84 / $4,786.30
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$575.44 / $870.96 / $7,244.36
DeanCare
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$53.70 / $81.28 / $676.08
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $6,025.60 / $12,589.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $5,128.61 / $11,481.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $588.84
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $8,511.38 / $9,120.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $2,630.27 / $6,918.31
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $1,778.28 / $5,495.41
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $3,235.94 / $19,498.45
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $4,365.16
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,148.15 / $10,232.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,232.93 / $13,182.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $1,513.56 / $7,244.36