# CPT 31231: Nasal endoscopy, diagnostic

Medicare CPT 31231 pays $193.39 in a non-facility setting and $54.78 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $169.32 in Arkansas to $223.04 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/31231-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $193.39 |
| National facility | $54.78 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $223.04 | $59.75 |
| California | $220.14 | $56.12 |
| Alaska | $218.76 | $71.14 |
| New Jersey | $214.87 | $58.79 |
| Washington | $214.71 | $56.70 |
| New York | $214.61 | $59.98 |
| Massachusetts | $212.39 | $56.65 |
| Hawaii | $212.01 | $54.40 |
| Connecticut | $206.96 | $57.67 |
| Colorado | $202.40 | $54.91 |
| Maryland | $200.75 | $56.24 |
| Oregon | $200.35 | $54.32 |
| New Hampshire | $198.97 | $54.67 |
| Florida | $198.96 | $59.88 |
| Rhode Island | $198.52 | $55.33 |
| Puerto Rico | $194.99 | $54.85 |
| Virgin Islands | $194.99 | $54.85 |
| Minnesota | $194.05 | $51.41 |
| Montana | $193.38 | $54.77 |
| Illinois | $193.24 | $59.31 |
| Nevada | $192.65 | $53.90 |
| Wyoming | $192.00 | $53.39 |
| Delaware | $191.20 | $54.25 |
| Pennsylvania | $190.96 | $55.19 |
| Texas | $190.85 | $54.38 |
| North Dakota | $190.22 | $51.60 |
| South Dakota | $189.84 | $51.23 |
| Vermont | $189.23 | $52.00 |
| Virginia | $189.23 | $52.97 |
| Arizona | $187.90 | $53.58 |
| Georgia | $187.49 | $55.25 |
| Michigan | $186.28 | $56.12 |
| Maine | $184.62 | $52.17 |
| Utah | $183.71 | $53.41 |
| Wisconsin | $183.30 | $50.50 |
| New Mexico | $181.82 | $54.72 |
| North Carolina | $181.26 | $51.93 |
| South Carolina | $181.01 | $52.94 |
| Missouri | $180.77 | $53.57 |
| Louisiana | $180.39 | $53.84 |
| Ohio | $180.18 | $53.63 |
| Indiana | $179.53 | $51.03 |
| Idaho | $178.39 | $50.87 |
| Nebraska | $178.34 | $50.40 |
| Iowa | $177.22 | $50.39 |
| Tennessee | $177.06 | $51.06 |
| Kansas | $176.12 | $50.81 |
| Kentucky | $176.03 | $52.80 |
| Oklahoma | $175.90 | $52.12 |
| West Virginia | $175.74 | $55.29 |
| Alabama | $172.03 | $50.75 |
| Mississippi | $170.83 | $51.48 |
| Arkansas | $169.32 | $50.25 |

## Related codes

- 30000: Drainage of abscess, nasal, internal approach — https://www.med-reveal.com/rates/30000-cpt-fee-schedule
- 30117: Excision or destruction of intranasal lesion, internal approach — https://www.med-reveal.com/rates/30117-cpt-fee-schedule
- 30130: Excision, inferior turbinate, partial or complete — https://www.med-reveal.com/rates/30130-cpt-fee-schedule
- 30140: Submucous resection, inferior turbinate, partial or complete — https://www.med-reveal.com/rates/30140-cpt-fee-schedule
- 30300: Removal of foreign body, intranasal, office-type instrument — https://www.med-reveal.com/rates/30300-cpt-fee-schedule
- 30400: Rhinoplasty, primary, simple — https://www.med-reveal.com/rates/30400-cpt-fee-schedule
- 30420: Rhinoplasty, primary, including major septal repair — https://www.med-reveal.com/rates/30420-cpt-fee-schedule
- 30520: Septoplasty/submucous resection — https://www.med-reveal.com/rates/30520-cpt-fee-schedule

Commercial negotiated rates for 31231 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules