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Unlisted Surgical Procedure On The Sinuses

Virginia 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?

$4,365

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $4,074 from a physician practice, and about $5,012 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 5 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$4,074$1,820 to $7,079
FacilityA hospital or hospital-owned outpatient department$5,012$2,188 to $8,318

How much rates vary

Facilitymedian $5,012 · 10th to 90th $933 to $12,882Professionalmedian $4,074 · 10th to 90th $1,230 to $10,000
$200$500$1K$2K$5K$10Kfacility $5,012professional $4,074

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
$3,235.94
Median
$5,888.44
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$4,073.80
Typical High
$7,079.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$9,332.54
Typical High
$12,882.50
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$3,548.13
Typical High
$4,466.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$10,964.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71

Where Virginia 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.

Virginia· 18th of 49

$4,365

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.