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Unlisted Surgical Procedure On The Sinuses

Kentucky rates for HCPCS 31299

Covers an operation on the paranasal sinuses — the air-filled spaces in the bones around the nose and eyes — that has no standard named entry of its own. It is used when the surgery performed does not match any established named sinus procedure, and the surgeon provides a written description of what was done.

Rates data updated July 2026.

How much does Unlisted Surgical Procedure On The Sinuses cost?

$8,511

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $8,511 for this service. The price depends on where it is billed: about $8,710 from a physician practice, and about $8,511 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8,710$2,818 to $8,710
FacilityA hospital or hospital-owned outpatient department$8,511$3,236 to $10,715

How much rates vary

Facilitymedian $8,511 · 10th to 90th $851 to $11,220Professionalmedian $8,710 · 10th to 90th $45 to $79,433
$0.1$1$10$100$1K$10K$100Kfacility $8,511professional $8,710

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,235.94
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$8,709.64
Typical High
$8,709.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
CareSource
Setting
Facility
Modifier
Global
Typical Low
$72,443.60
Median
$85,113.80
Typical High
$114,815.36
CareSource
Setting
Professional
Modifier
Global
Typical Low
$60,255.96
Median
$79,432.82
Typical High
$97,723.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$724.44
Typical High
$1,949.84

Where Kentucky sits

The same service costs 416.9 times more in Wisconsin than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Kentucky· 4th of 49

$8,511

WI $12,303HI $29.51

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.