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Unlisted Surgical Procedure On The Sinuses

West 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?

$3,162

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $3,162 for this service. Most negotiated rates run $93.33 to $3,715.

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.

How much rates vary

Facilitymedian $1,413 · 10th to 90th $407 to $1,413Professionalmedian $3,162 · 10th to 90th $93 to $3,715
$100$1K$10K$100Kfacility $1,413professional $3,162

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$3,162.28
Typical High
$3,715.35
CareSource
Setting
Facility
Modifier
Global
Typical Low
$81,283.05
Median
$81,283.05
Typical High
$81,283.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$72,443.60
Median
$72,443.60
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$457.09
Typical High
$977.24

Where West 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.

West Virginia· 29th of 49

$3,162

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.