# CPT 31255: Nasal/sinus endoscopy, surgical, with ethmoidectomy, total

Medicare CPT 31255 pays $273.22 in a non-facility setting and $273.22 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $251.68 in Nebraska to $358.41 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/31255-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $273.22 |
| National facility | $273.22 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $358.41 | $358.41 |
| Florida | $299.34 | $299.34 |
| New York | $298.71 | $298.71 |
| Illinois | $296.85 | $296.85 |
| District of Columbia | $296.84 | $296.84 |
| New Jersey | $292.50 | $292.50 |
| Connecticut | $287.22 | $287.22 |
| Washington | $281.52 | $281.52 |
| Massachusetts | $281.50 | $281.50 |
| Michigan | $280.82 | $280.82 |
| Maryland | $280.27 | $280.27 |
| California | $278.11 | $278.11 |
| West Virginia | $277.37 | $277.37 |
| Georgia | $276.20 | $276.20 |
| Rhode Island | $275.75 | $275.75 |
| Pennsylvania | $275.60 | $275.60 |
| New Mexico | $273.87 | $273.87 |
| Puerto Rico | $273.45 | $273.45 |
| Virgin Islands | $273.45 | $273.45 |
| Colorado | $273.21 | $273.21 |
| Montana | $273.16 | $273.16 |
| New Hampshire | $272.19 | $272.19 |
| Texas | $271.40 | $271.40 |
| Delaware | $270.69 | $270.69 |
| Oregon | $270.27 | $270.27 |
| Hawaii | $269.70 | $269.70 |
| Louisiana | $269.43 | $269.43 |
| Nevada | $268.70 | $268.70 |
| Ohio | $268.35 | $268.35 |
| Missouri | $267.98 | $267.98 |
| Arizona | $267.46 | $267.46 |
| Utah | $266.92 | $266.92 |
| Wyoming | $266.10 | $266.10 |
| South Carolina | $264.67 | $264.67 |
| Kentucky | $264.40 | $264.40 |
| Virginia | $264.17 | $264.17 |
| Oklahoma | $260.86 | $260.86 |
| Maine | $260.39 | $260.39 |
| North Carolina | $259.42 | $259.42 |
| Vermont | $259.10 | $259.10 |
| Mississippi | $257.95 | $257.95 |
| North Dakota | $256.95 | $256.95 |
| Minnesota | $255.63 | $255.63 |
| Tennessee | $255.22 | $255.22 |
| South Dakota | $255.03 | $255.03 |
| Indiana | $254.87 | $254.87 |
| Idaho | $254.11 | $254.11 |
| Alabama | $254.03 | $254.03 |
| Kansas | $254.02 | $254.02 |
| Wisconsin | $251.81 | $251.81 |
| Iowa | $251.74 | $251.74 |
| Arkansas | $251.69 | $251.69 |
| Nebraska | $251.68 | $251.68 |

## 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 31255 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