Price AtlasInteractive atlas · All states · techysurgeon.comNasal endoscopy: what insurers pay
A scope look inside the nose and sinuses in the office. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 31231: Nasal Endoscopy Dx
97 hospitals in 33 markets. National Medicare rate $204, surgery center $110.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $1,343–$1,343 |
| Austin TX | 2 | — | — | — | $578–$1,468 |
| Boston MA | 7 | $266 | $314 | $342 | $229–$393 |
| Chicago IL | 7 | $242 | $306 | $618 | $217–$968 |
| Cleveland OH | 4 | — | — | — | $97–$1,226 |
| Dallas-Fort Worth TX | 4 | — | — | — | $166–$1,573 |
| Denver CO | 7 | $612 | $950 | $1,172 | $539–$1,475 |
| Detroit MI | 7 | $135 | $156 | $160 | $104–$749 |
| Houston TX | 1 | — | — | — | $163–$163 |
| Illinois (statewide) | 1 | — | — | — | $213–$213 |
| Indianapolis IN | 3 | — | — | — | $129–$192 |
| Kansas (statewide) | 1 | — | — | — | $206–$206 |
| Las Vegas NV | 1 | — | — | — | $735–$735 |
| Los Angeles CA | 1 | — | — | — | $966–$966 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $702–$1,320 |
| Minneapolis-St. Paul MN | 4 | — | — | — | $276–$928 |
| Nashville TN | 4 | — | — | — | $260–$950 |
| New York (statewide) | 1 | — | — | — | $1,104–$1,104 |
| New York City | 2 | — | — | — | $313–$326 |
| Ohio (statewide) | 1 | — | — | — | $394–$394 |
| Philadelphia PA | 4 | — | — | — | $256–$1,232 |
| Phoenix AZ | 3 | — | — | — | $830–$1,448 |
| Pittsburgh PA | 1 | — | — | — | $1,364–$1,364 |
| Portland OR | 6 | $531 | $531 | $640 | $531–$677 |
| Research Triangle NC | 1 | — | — | — | $788–$788 |
| Richmond VA | 2 | — | — | — | $1,203–$1,203 |
| San Antonio TX | 1 | — | — | — | $1,174–$1,174 |
| San Diego CA | 1 | — | — | — | $257–$257 |
| San Francisco Bay Area CA | 2 | — | — | — | $1,162–$1,162 |
| Seattle-Tacoma WA | 6 | $615 | $670 | $830 | $567–$867 |
| Tampa FL | 2 | — | — | — | $202–$972 |
| Washington DC | 6 | $440 | $672 | $929 | $303–$968 |
| Wisconsin (statewide) | 1 | — | — | — | $981–$981 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $97 | 0.5× | 1 | 2026-06-15 |
| Trinity Health Oakland Hospital | Detroit MI | $104 | 0.5× | 16 | 2026-03-31 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $113 | 0.6× | 1 | 2026-06-15 |
| Corewell Health Dearborn Hospital | Detroit MI | $117 | 0.6× | 1 | 2026-05-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $129 | 0.6× | 1 | 2026-01-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $129 | 0.6× | 1 | 2026-01-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $153 | 0.8× | 2 | 2026-05-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $156 | 0.8× | 2 | 2026-01-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $160 | 0.8× | 2 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $160 | 0.8× | 2 | 2026-05-01 |
| Houston Methodist Hospital | Houston TX | $163 | 0.8× | 2 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $166 | 0.8× | 2 | 2026-06-29 |
| Hendricks Regional Health | Indianapolis IN | $192 | 0.9× | 4 | 2026-05-20 |
| Morton Plant Hospital | Tampa FL | $202 | 1.0× | 1 | 2026-01-01 |
| Menorah Medical Center | Kansas (statewide) | $206 | 1.1× | 3 | 2026-09-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $213 | 1.0× | 3 | 2026-06-03 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $217 | 1.0× | 3 | 2026-04-01 |
| Winchester Hospital | Boston MA | $229 | 1.0× | 2 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $239 | 1.1× | 1 | 2026-03-31 |
| University of Chicago Medical Center | Chicago IL | $246 | 1.1× | 1 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $256 | 1.3× | 1 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $257 | 1.0× | 1 | 2026-03-30 |
| Bryn Mawr Hospital | Philadelphia PA | $259 | 1.3× | 1 | 2026-04-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $260 | 1.4× | 1 | 2026-01-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $260 | 1.4× | 1 | 2026-01-01 |
| New England Baptist Hospital | Boston MA | $261 | 1.1× | 3 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $271 | 1.1× | 1 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $276 | 1.3× | 2 | 2026-03-31 |
| Medstar Washington Hospital Center | Washington DC | $303 | 1.3× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $306 | 1.4× | 2 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $313 | 1.3× | 3 | 2026-01-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $314 | 1.3× | 1 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $323 | 1.4× | 2 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $323 | 1.7× | 8 | 2025-10-01 |
| Montefiore Medical Center | New York City | $326 | 1.3× | 9 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $347 | 1.8× | 1 | 2026-06-15 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $362 | 1.5× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $393 | 1.6× | 1 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $394 | 2.0× | 4 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $396 | 1.9× | 2 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $410 | 1.7× | 2 | 2026-09-01 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $486 | 2.3× | 3 | 2026-06-16 |
| Medstar Georgetown University Hospital | Washington DC | $531 | 2.3× | 1 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $531 | 2.4× | 2 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $531 | 2.4× | 2 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $531 | 2.4× | 2 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $531 | 2.4× | 2 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $539 | 2.5× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $539 | 2.5× | 4 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $567 | 2.4× | 4 | 2026-04-01 |
| Ascension Seton Medical Center Austin | Austin TX | $578 | 2.9× | 2 | 2026-01-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $589 | 2.6× | 1 | 2026-09-15 |
| St Clare Hospital | Seattle-Tacoma WA | $612 | 2.6× | 7 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $623 | 2.7× | 7 | 2026-02-28 |
| Providence St Vincent Medical Center | Portland OR | $677 | 3.0× | 1 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $677 | 3.0× | 1 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $684 | 3.2× | 1 | 2026-09-01 |
| Boca Raton Regional Hospital | Miami-Fort Lauderdale FL | $702 | 3.4× | 3 | 2026-03-30 |
| Swedish Medical Center | Seattle-Tacoma WA | $718 | 3.1× | 4 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $735 | 3.5× | 7 | 2026-07-01 |
| Harper University Hospital | Detroit MI | $749 | 3.8× | 3 | 2026-09-02 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $788 | 4.0× | 4 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $812 | 3.9× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $830 | 3.9× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $830 | 3.9× | 2 | 2026-04-01 |
| Rush University Medical Center | Chicago IL | $839 | 3.9× | 2 | 2026-09-25 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $840 | 4.2× | 2 | 2026-04-21 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $867 | 3.7× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $867 | 3.7× | 6 | 2026-08-27 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $902 | 4.3× | 2 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $928 | 4.4× | 2 | 2026-06-16 |
| UCHealth University of Colorado Hospital | Denver CO | $950 | 4.5× | 2 | 2025-11-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $950 | 5.0× | 2 | 2026-09-01 |
| Keck Hospital Of Usc | Los Angeles CA | $966 | 3.8× | 4 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $968 | 4.5× | 2 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $968 | 4.7× | 1 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $968 | 4.7× | 1 | 2026-09-01 |
| Tampa General Hospital | Tampa FL | $972 | 4.7× | 1 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $981 | 4.9× | 2 | 2026-01-01 |
| Stony Brook University Hospital | New York (statewide) | $1,104 | 4.4× | 2 | 2026-06-10 |
| HCA HealthONE Sky Ridge | Denver CO | $1,116 | 5.3× | 2 | 2026-09-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $1,162 | 4.1× | 2 | 2026-03-23 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $1,162 | 4.1× | 2 | 2026-03-23 |
| Methodist Hospital | San Antonio TX | $1,174 | 5.8× | 1 | 2026-09-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $1,203 | 6.2× | 1 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $1,203 | 6.2× | 1 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $1,226 | 6.5× | 2 | 2026-07-14 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $1,229 | 5.8× | 2 | 2026-09-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $1,232 | 6.0× | 1 | 2026-09-15 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $1,320 | 6.3× | 2 | 2026-06-15 |
| Emory University Hospital | Atlanta GA | $1,343 | 6.7× | 1 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $1,364 | 7.0× | 1 | 2026-03-06 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $1,448 | 6.8× | 1 | 2026-04-01 |
| St David's Medical Center | Austin TX | $1,468 | 7.3× | 1 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $1,475 | 7.0× | 3 | 2026-09-01 |
| Medical City Plano | Dallas-Fort Worth TX | $1,573 | 7.8× | 3 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $1,573 | 7.8× | 3 | 2026-09-01 |
Questions
How much do commercial insurers pay hospitals for nasal endoscopy?
Across 97 hospitals in 33 metro areas that post a usable dollar rate, the median commercial rate for CPT 31231, hospital outpatient is $539, 2.5× the same hospital's local Medicare base rate. The middle half of hospitals runs $260 to $950. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for nasal endoscopy?
Medicare's national hospital outpatient rate for CPT 31231 is $204 and its surgery-center rate is $110, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for nasal endoscopy?
Lowest medians: Cleveland Clinic Hillcrest Hospital ($97), Trinity Health Oakland Hospital ($104), Cleveland Clinic Lutheran Hospital ($113). Highest: Medical City Mckinney ($1,573), Medical City Plano ($1,573), HCA HealthONE Swedish ($1,475). Coverage is limited to the markets listed on this page.