CPT 31256

Nasal/Sinus Endoscopy W/Maxillary Antrostomy

CPT 31256 pays $152.64 in a non-facility setting and $152.64 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $140.45 in Arkansas to $199.21 in Alaska, a 42% spread.

National non-facility rate

$152.64

Office and other outpatient settings

Facility rate
$152.64

Hospital and ASC settings

Highest state
$199.21

Alaska

Lowest state
$140.45

Arkansas · 42% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $152.64
CPT 31256 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $152.64, national facility $152.64.
StateRate compared visuallyNon-facilityFacility
Alaska
$199.21$199.21
New York
$166.89$166.89
Florida
$166.36$166.36
District of Columbia
$166.33$166.33
Illinois
$164.83$164.83
New Jersey
$163.71$163.71
Connecticut
$160.54$160.54
Washington
$157.99$157.99
Massachusetts
$157.86$157.86
Maryland
$156.65$156.65
California
$156.49$156.49
Michigan
$156.23$156.23
Rhode Island
$154.24$154.24
West Virginia
$153.98$153.98
Georgia
$153.91$153.91
Pennsylvania
$153.78$153.78
Colorado
$153.08$153.08
Puerto Rico
$152.83$152.83
Virgin Islands
$152.83$152.83
Montana
$152.61$152.61
New Mexico
$152.45$152.45
New Hampshire
$152.37$152.37
Hawaii
$151.67$151.67
Texas
$151.60$151.60
Oregon
$151.46$151.46
Delaware
$151.25$151.25
Nevada
$150.28$150.28
Louisiana
$150.09$150.09
Ohio
$149.53$149.53
Arizona
$149.42$149.42
Missouri
$149.36$149.36
Utah
$148.95$148.95
Wyoming
$148.91$148.91
Virginia
$147.79$147.79
South Carolina
$147.67$147.67
Kentucky
$147.31$147.31
Maine
$145.63$145.63
Oklahoma
$145.47$145.47
Vermont
$145.18$145.18
North Carolina
$144.97$144.97
North Dakota
$144.11$144.11
Mississippi
$143.74$143.74
Minnesota
$143.61$143.61
South Dakota
$143.11$143.11
Tennessee
$142.62$142.62
Indiana
$142.55$142.55
Idaho
$142.11$142.11
Kansas
$141.96$141.96
Alabama
$141.77$141.77
Wisconsin
$141.15$141.15
Nebraska
$140.85$140.85
Iowa
$140.83$140.83
Arkansas
$140.45$140.45

Billed by 1 specialties

Commercial rates for 31256

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates