# CPT 31645: Bronchoscopy with therapeutic aspiration of tracheobronchial tree, initial

Medicare CPT 31645 pays $308.29 in a non-facility setting and $133.27 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $274.72 in Arkansas to $364.18 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/31645-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $308.29 |
| National facility | $133.27 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $364.18 | $177.78 |
| District of Columbia | $350.90 | $144.72 |
| California | $344.75 | $137.65 |
| New York | $339.89 | $144.64 |
| New Jersey | $339.72 | $142.65 |
| Washington | $337.87 | $138.35 |
| Massachusetts | $334.74 | $138.10 |
| Hawaii | $332.26 | $133.26 |
| Connecticut | $327.97 | $139.47 |
| Colorado | $320.40 | $134.18 |
| Maryland | $318.96 | $136.51 |
| Florida | $318.14 | $142.54 |
| Oregon | $317.32 | $132.93 |
| Rhode Island | $315.78 | $134.99 |
| New Hampshire | $315.47 | $133.28 |
| Illinois | $310.53 | $141.42 |
| Puerto Rico | $310.40 | $133.45 |
| Virgin Islands | $310.40 | $133.45 |
| Montana | $308.27 | $133.25 |
| Minnesota | $307.41 | $127.31 |
| Nevada | $306.88 | $131.68 |
| Wyoming | $305.77 | $130.75 |
| Pennsylvania | $305.61 | $134.18 |
| Delaware | $305.32 | $132.40 |
| Texas | $304.95 | $132.64 |
| North Dakota | $302.54 | $127.52 |
| Virginia | $301.96 | $129.92 |
| South Dakota | $301.86 | $126.84 |
| Vermont | $301.46 | $128.19 |
| Georgia | $300.92 | $133.95 |
| Arizona | $300.55 | $130.95 |
| Michigan | $299.75 | $135.40 |
| Maine | $295.56 | $128.33 |
| Utah | $295.02 | $130.50 |
| New Mexico | $293.24 | $132.75 |
| Wisconsin | $292.99 | $125.32 |
| Missouri | $291.28 | $130.67 |
| South Carolina | $291.28 | $129.56 |
| North Carolina | $291.08 | $127.78 |
| Louisiana | $290.93 | $131.14 |
| Ohio | $290.55 | $130.76 |
| Indiana | $288.37 | $126.12 |
| Idaho | $286.81 | $125.79 |
| Nebraska | $286.50 | $124.96 |
| West Virginia | $285.64 | $133.55 |
| Tennessee | $285.17 | $126.08 |
| Iowa | $285.05 | $124.90 |
| Kentucky | $284.74 | $129.15 |
| Oklahoma | $284.22 | $127.93 |
| Kansas | $283.83 | $125.61 |
| Alabama | $278.49 | $125.35 |
| Mississippi | $277.30 | $126.61 |
| Arkansas | $274.72 | $124.38 |

## 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 31645 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