go back

Unlisted Surgical Procedure On The Sinuses

Wisconsin 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?

$12,303

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $12,303 for this service. The price depends on where it is billed: about $5,248 from a physician practice, and about $12,882 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 8 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$5,248$5,248 to $13,804
FacilityA hospital or hospital-owned outpatient department$12,882$5,248 to $19,953

How much rates vary

Facilitymedian $12,882 · 10th to 90th $1,585 to $26,915Professionalmedian $5,248 · 10th to 90th $85 to $13,804
$100$1K$10Kfacility $12,882professional $5,248

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
$3,311.31
Median
$14,454.40
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$13,803.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$13,803.84
Typical High
$30,199.52
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,818.38
Typical High
$5,370.32
Medica
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,445.44
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$933.25
Typical High
$2,344.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,513.56
Typical High
$1,949.84

Where Wisconsin 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.

Wisconsin· 1st of 49

$12,303

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.