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New Jersey rates for HCPCS 31297

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

Facilitymedian $6,607 · 10th–90th $3,890–$10,9650%10%10th90th$6,607Professionalmedian $1,514 · 10th–90th $138–$4,2660%5%10%10th90th$1,514$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
$4,168.69 / $6,606.93 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $1,621.81 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $912.01 / $5,623.41
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $1,862.09 / $3,019.95
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
$114.82 / $1,737.80 / $4,365.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $6,165.95 / $10,471.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $1,148.15 / $3,715.35