# CPT 31627: Nsl/sinus Ndsc Max Antrost W/rmvl Tiss Max Sinus

Medicare CPT 31627 pays $1,155.34 in a non-facility setting and $85.17 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $999.32 in Arkansas to $1,353.20 in California, a 35% spread.

Web page: https://www.med-reveal.com/rates/31627-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,155.34 |
| National facility | $85.17 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| California | $1,353.20 | $86.90 |
| District of Columbia | $1,352.48 | $91.82 |
| Washington | $1,307.67 | $87.69 |
| Hawaii | $1,300.97 | $84.19 |
| New Jersey | $1,295.76 | $90.76 |
| Massachusetts | $1,289.97 | $87.64 |
| New York | $1,286.08 | $92.21 |
| Alaska | $1,255.33 | $115.61 |
| Connecticut | $1,241.47 | $88.91 |
| Colorado | $1,224.00 | $85.35 |
| Oregon | $1,211.98 | $84.56 |
| Maryland | $1,202.75 | $87.10 |
| New Hampshire | $1,198.93 | $84.89 |
| Rhode Island | $1,191.61 | $86.13 |
| Minnesota | $1,182.06 | $80.86 |
| Puerto Rico | $1,167.16 | $85.22 |
| Virgin Islands | $1,167.16 | $85.22 |
| Florida | $1,165.27 | $91.54 |
| Montana | $1,155.32 | $85.16 |
| Nevada | $1,155.31 | $84.07 |
| Wyoming | $1,153.60 | $83.44 |
| North Dakota | $1,151.37 | $81.20 |
| South Dakota | $1,150.90 | $80.74 |
| Delaware | $1,141.99 | $84.66 |
| Vermont | $1,141.20 | $81.74 |
| Texas | $1,138.43 | $84.85 |
| Virginia | $1,134.95 | $82.98 |
| Pennsylvania | $1,134.17 | $85.95 |
| Illinois | $1,125.08 | $91.04 |
| Arizona | $1,120.79 | $83.80 |
| Georgia | $1,106.91 | $85.97 |
| Wisconsin | $1,105.21 | $79.99 |
| Maine | $1,104.63 | $82.09 |
| Michigan | $1,091.97 | $87.08 |
| Utah | $1,089.64 | $83.69 |
| North Carolina | $1,080.33 | $81.87 |
| Indiana | $1,072.81 | $80.76 |
| South Carolina | $1,071.99 | $83.15 |
| Nebraska | $1,067.75 | $79.99 |
| New Mexico | $1,066.75 | $85.41 |
| Missouri | $1,066.02 | $83.96 |
| Idaho | $1,065.13 | $80.58 |
| Louisiana | $1,061.39 | $84.33 |
| Ohio | $1,061.12 | $84.06 |
| Iowa | $1,059.21 | $80.01 |
| Tennessee | $1,053.64 | $80.86 |
| Kansas | $1,048.01 | $80.58 |
| Oklahoma | $1,037.91 | $82.25 |
| Kentucky | $1,034.50 | $83.12 |
| Alabama | $1,017.00 | $80.60 |
| West Virginia | $1,016.27 | $86.30 |
| Mississippi | $1,002.98 | $81.57 |
| Arkansas | $999.32 | $80.05 |

## 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 31627 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
