# CPT 31254: Nasal/sinus endoscopy, surgical, with ethmoidectomy, partial

Medicare CPT 31254 pays $436.55 in a non-facility setting and $205.75 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $387.69 in Arkansas to $515.07 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/31254-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $436.55 |
| National facility | $205.75 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $515.07 | $269.26 |
| District of Columbia | $495.72 | $223.84 |
| California | $483.23 | $210.12 |
| New York | $482.43 | $224.95 |
| New Jersey | $480.34 | $220.45 |
| Washington | $475.56 | $212.44 |
| Massachusetts | $471.66 | $212.35 |
| Hawaii | $466.14 | $203.72 |
| Connecticut | $464.91 | $216.34 |
| Florida | $456.45 | $224.88 |
| Maryland | $451.71 | $211.10 |
| Colorado | $451.59 | $206.02 |
| Oregon | $446.97 | $203.82 |
| Rhode Island | $446.18 | $207.77 |
| Illinois | $445.93 | $222.92 |
| New Hampshire | $445.42 | $205.16 |
| Puerto Rico | $439.30 | $205.96 |
| Virgin Islands | $439.30 | $205.96 |
| Montana | $436.51 | $205.71 |
| Pennsylvania | $433.50 | $207.43 |
| Nevada | $433.48 | $202.45 |
| Delaware | $431.89 | $203.86 |
| Texas | $431.58 | $204.36 |
| Wyoming | $431.34 | $200.54 |
| Minnesota | $430.49 | $193.00 |
| Georgia | $427.93 | $207.75 |
| Michigan | $427.79 | $211.07 |
| Virginia | $425.94 | $199.06 |
| Arizona | $425.06 | $201.41 |
| North Dakota | $424.65 | $193.85 |
| Vermont | $423.87 | $195.38 |
| South Dakota | $423.24 | $192.44 |
| Utah | $417.85 | $200.90 |
| New Mexico | $417.54 | $205.90 |
| Maine | $416.72 | $196.18 |
| Missouri | $413.39 | $201.59 |
| Louisiana | $413.35 | $202.63 |
| Ohio | $412.56 | $201.84 |
| South Carolina | $412.45 | $199.19 |
| Wisconsin | $411.02 | $189.92 |
| North Carolina | $410.72 | $195.38 |
| West Virginia | $408.83 | $208.26 |
| Indiana | $405.99 | $192.04 |
| Kentucky | $404.04 | $198.86 |
| Idaho | $403.78 | $191.45 |
| Nebraska | $402.71 | $189.68 |
| Oklahoma | $402.38 | $196.28 |
| Tennessee | $402.01 | $192.22 |
| Iowa | $400.87 | $189.69 |
| Kansas | $399.96 | $191.32 |
| Alabama | $393.16 | $191.21 |
| Mississippi | $392.74 | $194.02 |
| Arkansas | $387.69 | $189.44 |

## 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 31254 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