# CPT 31256: Nasal/sinus Endoscopy W/maxillary Antrostomy

Medicare 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.

Web page: https://www.med-reveal.com/rates/31256-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $152.64 |
| National facility | $152.64 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| 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 | $156.64 | $156.64 |
| California | $156.49 | $156.49 |
| Michigan | $156.24 | $156.24 |
| Rhode Island | $154.24 | $154.24 |
| West Virginia | $153.98 | $153.98 |
| Georgia | $153.92 | $153.92 |
| Pennsylvania | $153.79 | $153.79 |
| 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 | $150.10 | $150.10 |
| 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 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 31256 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