# CPT 31653: Bronchoscopy with endobronchial ultrasound-guided sampling, multiple stations

Medicare CPT 31653 pays $1,399.16 in a non-facility setting and $219.11 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,219.28 in Arkansas to $1,627.15 in District of Columbia, a 33% spread.

Web page: https://www.med-reveal.com/rates/31653-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,399.16 |
| National facility | $219.11 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $1,627.15 | $237.05 |
| California | $1,621.70 | $225.37 |
| Washington | $1,572.00 | $226.74 |
| New Jersey | $1,562.73 | $233.99 |
| Hawaii | $1,559.94 | $218.22 |
| New York | $1,553.71 | $237.24 |
| Alaska | $1,552.36 | $295.61 |
| Massachusetts | $1,552.21 | $226.42 |
| Connecticut | $1,499.77 | $228.85 |
| Colorado | $1,475.86 | $220.28 |
| Oregon | $1,461.48 | $218.30 |
| Maryland | $1,454.41 | $224.20 |
| New Hampshire | $1,447.30 | $218.86 |
| Rhode Island | $1,440.86 | $221.86 |
| Minnesota | $1,423.54 | $209.27 |
| Florida | $1,418.10 | $234.11 |
| Puerto Rico | $1,412.37 | $219.33 |
| Virgin Islands | $1,412.37 | $219.33 |
| Montana | $1,399.13 | $219.08 |
| Nevada | $1,397.76 | $216.53 |
| Wyoming | $1,395.08 | $215.03 |
| North Dakota | $1,389.84 | $209.79 |
| South Dakota | $1,388.74 | $208.69 |
| Delaware | $1,383.72 | $217.83 |
| Texas | $1,380.00 | $218.24 |
| Vermont | $1,379.19 | $210.94 |
| Pennsylvania | $1,376.66 | $220.79 |
| Virginia | $1,373.78 | $213.78 |
| Illinois | $1,372.79 | $232.57 |
| Arizona | $1,359.03 | $215.56 |
| Georgia | $1,346.29 | $220.52 |
| Maine | $1,338.93 | $211.39 |
| Wisconsin | $1,336.98 | $206.49 |
| Michigan | $1,331.03 | $222.96 |
| Utah | $1,324.25 | $215.00 |
| North Carolina | $1,311.64 | $210.65 |
| South Carolina | $1,303.95 | $213.58 |
| Indiana | $1,301.90 | $207.99 |
| New Mexico | $1,300.91 | $218.80 |
| Missouri | $1,298.32 | $215.43 |
| Nebraska | $1,295.32 | $206.13 |
| Louisiana | $1,293.61 | $216.22 |
| Idaho | $1,293.15 | $207.50 |
| Ohio | $1,292.99 | $215.60 |
| Iowa | $1,285.84 | $206.09 |
| Tennessee | $1,280.71 | $208.04 |
| Kansas | $1,274.08 | $207.32 |
| Oklahoma | $1,264.93 | $211.14 |
| Kentucky | $1,262.21 | $213.14 |
| West Virginia | $1,245.87 | $220.41 |
| Alabama | $1,239.62 | $207.08 |
| Mississippi | $1,225.24 | $209.21 |
| Arkansas | $1,219.28 | $205.61 |

## 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 31653 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