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New York rates for HCPCS 31297

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

Facilitymedian $4,467 · 10th–90th $977$11,7490%10%10th90th$4,467Professionalmedian $1,995 · 10th–90th $158$5,3700%10%10th90th$1,995$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$257.04 / $3,801.89 / $10,964.78
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $1,698.24 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,495.41 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,995.26 / $5,623.41
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$2,398.83 / $2,951.21 / $8,511.38
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $1,698.24 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $1,819.70 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $954.99 / $6,760.83
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $165.96 / $478.63
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,290.87 / $3,235.94
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,089.30 / $3,388.44
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,570.40 / $4,265.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,981.07 / $9,772.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $1,621.81 / $4,466.84
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $154.88 / $316.23
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $1,862.09 / $3,235.94