# CPT 31237: Nasal/sinus endoscopy, surgical, with debridement

Medicare CPT 31237 pays $266.54 in a non-facility setting and $138.28 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $236.67 in Arkansas to $314.42 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/31237-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $266.54 |
| National facility | $138.28 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $314.42 | $177.82 |
| District of Columbia | $302.66 | $151.57 |
| California | $294.96 | $143.19 |
| New York | $294.58 | $151.50 |
| New Jersey | $293.27 | $148.85 |
| Washington | $290.31 | $144.10 |
| Massachusetts | $287.94 | $143.84 |
| Hawaii | $284.54 | $138.71 |
| Connecticut | $283.87 | $145.74 |
| Florida | $278.80 | $150.12 |
| Maryland | $275.80 | $142.09 |
| Colorado | $275.69 | $139.22 |
| Oregon | $272.86 | $137.74 |
| Rhode Island | $272.40 | $139.91 |
| Illinois | $272.38 | $148.45 |
| New Hampshire | $271.94 | $138.42 |
| Puerto Rico | $268.22 | $138.55 |
| Virgin Islands | $268.22 | $138.55 |
| Montana | $266.51 | $138.26 |
| Pennsylvania | $264.68 | $139.06 |
| Nevada | $264.64 | $136.26 |
| Delaware | $263.68 | $136.96 |
| Texas | $263.50 | $137.23 |
| Wyoming | $263.33 | $135.07 |
| Minnesota | $262.75 | $130.77 |
| Georgia | $261.31 | $138.95 |
| Michigan | $261.25 | $140.81 |
| Virginia | $260.03 | $133.95 |
| Arizona | $259.51 | $135.23 |
| North Dakota | $259.20 | $130.94 |
| Vermont | $258.74 | $131.76 |
| South Dakota | $258.33 | $130.07 |
| Utah | $255.12 | $134.55 |
| New Mexico | $254.97 | $137.35 |
| Maine | $254.39 | $131.83 |
| Missouri | $252.41 | $134.70 |
| Louisiana | $252.39 | $135.29 |
| Ohio | $251.91 | $134.80 |
| South Carolina | $251.82 | $133.30 |
| Wisconsin | $250.87 | $128.00 |
| North Carolina | $250.73 | $131.07 |
| West Virginia | $249.68 | $138.22 |
| Indiana | $247.82 | $128.93 |
| Kentucky | $246.69 | $132.67 |
| Idaho | $246.48 | $128.48 |
| Nebraska | $245.81 | $127.43 |
| Oklahoma | $245.66 | $131.13 |
| Tennessee | $245.41 | $128.82 |
| Iowa | $244.69 | $127.34 |
| Kansas | $244.15 | $128.21 |
| Alabama | $240.01 | $127.78 |
| Mississippi | $239.78 | $129.34 |
| Arkansas | $236.67 | $126.49 |

## 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 31237 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
