# CPT 31287: Nasal/sinus endoscopy, surgical, with sphenoidotomy

Medicare CPT 31287 pays $170.34 in a non-facility setting and $170.34 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $156.87 in Arkansas to $222.72 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/31287-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $170.34 |
| National facility | $170.34 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $222.72 | $222.72 |
| New York | $186.18 | $186.18 |
| Florida | $185.66 | $185.66 |
| District of Columbia | $185.50 | $185.50 |
| Illinois | $183.99 | $183.99 |
| New Jersey | $182.63 | $182.63 |
| Connecticut | $179.10 | $179.10 |
| Washington | $176.21 | $176.21 |
| Massachusetts | $176.07 | $176.07 |
| Maryland | $174.79 | $174.79 |
| California | $174.49 | $174.49 |
| Michigan | $174.42 | $174.42 |
| Rhode Island | $172.11 | $172.11 |
| West Virginia | $171.96 | $171.96 |
| Georgia | $171.81 | $171.81 |
| Pennsylvania | $171.65 | $171.65 |
| Colorado | $170.79 | $170.79 |
| Puerto Rico | $170.55 | $170.55 |
| Virgin Islands | $170.55 | $170.55 |
| Montana | $170.31 | $170.31 |
| New Mexico | $170.21 | $170.21 |
| New Hampshire | $170.00 | $170.00 |
| Texas | $169.21 | $169.21 |
| Hawaii | $169.13 | $169.13 |
| Oregon | $168.99 | $168.99 |
| Delaware | $168.81 | $168.81 |
| Nevada | $167.71 | $167.71 |
| Louisiana | $167.58 | $167.58 |
| Ohio | $166.96 | $166.96 |
| Arizona | $166.78 | $166.78 |
| Missouri | $166.77 | $166.77 |
| Utah | $166.28 | $166.28 |
| Wyoming | $166.18 | $166.18 |
| Virginia | $164.94 | $164.94 |
| South Carolina | $164.87 | $164.87 |
| Kentucky | $164.50 | $164.50 |
| Maine | $162.56 | $162.56 |
| Oklahoma | $162.44 | $162.44 |
| Vermont | $162.02 | $162.02 |
| North Carolina | $161.85 | $161.85 |
| North Dakota | $160.82 | $160.82 |
| Mississippi | $160.54 | $160.54 |
| Minnesota | $160.23 | $160.23 |
| South Dakota | $159.70 | $159.70 |
| Tennessee | $159.24 | $159.24 |
| Indiana | $159.15 | $159.15 |
| Idaho | $158.66 | $158.66 |
| Kansas | $158.51 | $158.51 |
| Alabama | $158.33 | $158.33 |
| Wisconsin | $157.55 | $157.55 |
| Nebraska | $157.26 | $157.26 |
| Iowa | $157.24 | $157.24 |
| Arkansas | $156.87 | $156.87 |

## 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 31287 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