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Unlisted Surgical Procedure On The Sinuses

New York 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?

$3,981

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $4,169 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 7 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$3,020$2,884 to $5,495
FacilityA hospital or hospital-owned outpatient department$4,169$2,630 to $7,413

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,820 to $10,965Professionalmedian $3,020 · 10th to 90th $398 to $10,233
$100$200$500$1K$2K$5K$10Kfacility $4,169professional $3,020

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
$1,905.46
Median
$6,165.95
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,019.95
Typical High
$10,232.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$933.25
Typical High
$933.25
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48,977.88
Median
$48,977.88
Typical High
$48,977.88
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,511.89
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Univera
Setting
Facility
Modifier
Global
Typical Low
$0.09
Median
$0.09
Typical High
$0.10
Univera
Setting
Professional
Modifier
Global
Typical Low
$0.09
Median
$0.09
Typical High
$0.10

Where New York 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.

New York· 20th of 49

$3,981

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.