CPT 31276

Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus

CPT 31276 pays $317.98 in a non-facility setting and $317.98 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $292.94 in Nebraska to $417.77 in Alaska, a 43% spread.

National non-facility rate

$317.98

Office and other outpatient settings

Facility rate
$317.98

Hospital and ASC settings

Highest state
$417.77

Alaska

Lowest state
$292.94

Nebraska · 43% 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 $317.98
CPT 31276 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $317.98, national facility $317.98.
StateRate compared visuallyNon-facilityFacility
Alaska
$417.77$417.77
Florida
$348.55$348.55
New York
$347.57$347.57
Illinois
$345.72$345.72
District of Columbia
$345.24$345.24
New Jersey
$340.27$340.27
Connecticut
$334.20$334.20
Massachusetts
$327.39$327.39
Washington
$327.39$327.39
Michigan
$327.01$327.01
Maryland
$326.13$326.13
California
$323.30$323.30
West Virginia
$323.13$323.13
Georgia
$321.56$321.56
Rhode Island
$320.87$320.87
Pennsylvania
$320.81$320.81
New Mexico
$318.93$318.93
Puerto Rico
$318.22$318.22
Virgin Islands
$318.22$318.22
Montana
$317.91$317.91
Colorado
$317.82$317.82
New Hampshire
$316.68$316.68
Texas
$315.88$315.88
Delaware
$315.04$315.04
Oregon
$314.41$314.41
Louisiana
$313.73$313.73
Hawaii
$313.54$313.54
Nevada
$312.69$312.69
Ohio
$312.48$312.48
Missouri
$312.03$312.03
Arizona
$311.31$311.31
Utah
$310.74$310.74
Wyoming
$309.64$309.64
South Carolina
$308.14$308.14
Kentucky
$307.91$307.91
Virginia
$307.43$307.43
Oklahoma
$303.75$303.75
Maine
$303.06$303.06
North Carolina
$301.97$301.97
Vermont
$301.48$301.48
Mississippi
$300.42$300.42
North Dakota
$298.93$298.93
Minnesota
$297.32$297.32
Tennessee
$297.11$297.11
South Dakota
$296.69$296.69
Indiana
$296.67$296.67
Alabama
$295.79$295.79
Idaho
$295.79$295.79
Kansas
$295.72$295.72
Arkansas
$293.10$293.10
Iowa
$293.02$293.02
Wisconsin
$293.01$293.01
Nebraska
$292.94$292.94

Billed by 1 specialties

Commercial rates for 31276

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

See negotiated rates