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.
Open the interactive explorerAll operations
CPT 31231: Nasal Endoscopy
1167 hospitals in 82 markets. National Medicare rate $204, surgery center $110.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 14 | $177 | $221 | $298 | $151–$468 |
| Alaska (statewide) | 4 | — | — | — | $128–$1,231 |
| Arizona (statewide) | 4 | — | — | — | $122–$1,448 |
| Arkansas (statewide) | 11 | $190 | $222 | $407 | $160–$675 |
| Atlanta GA | 6 | $1,055 | $1,343 | $1,343 | $954–$1,343 |
| Austin TX | 13 | $193 | $388 | $1,494 | $188–$1,494 |
| Boston MA | 13 | $263 | $323 | $395 | $164–$599 |
| California (statewide) | 54 | $365 | $573 | $735 | $248–$1,590 |
| Charlotte NC | 5 | $231 | $231 | $231 | $228–$231 |
| Chicago IL | 9 | $246 | $396 | $839 | $217–$1,356 |
| Cleveland OH | 11 | $198 | $278 | $534 | $189–$1,226 |
| Colorado (statewide) | 15 | $380 | $462 | $806 | $182–$1,598 |
| Columbus OH | 1 | — | — | — | $718–$718 |
| Connecticut (statewide) | 3 | — | — | — | $160–$832 |
| Dallas-Fort Worth TX | 14 | $300 | $655 | $1,573 | $286–$1,573 |
| Denver CO | 14 | $705 | $881 | $1,043 | $195–$1,475 |
| Detroit MI | 16 | $162 | $192 | $203 | $104–$749 |
| Florida (statewide) | 60 | $228 | $1,316 | $1,404 | $106–$1,575 |
| Georgia (statewide) | 22 | $589 | $952 | $1,096 | $219–$1,343 |
| Hawaii (statewide) | 4 | — | — | — | $230–$459 |
| Houston TX | 17 | $211 | $292 | $994 | $163–$994 |
| Idaho (statewide) | 16 | $186 | $280 | $456 | $133–$600 |
| Illinois (statewide) | 34 | $242 | $321 | $627 | $111–$1,210 |
| Indiana (statewide) | 30 | $139 | $268 | $420 | $129–$1,284 |
| Indianapolis IN | 4 | — | — | — | $129–$196 |
| Iowa (statewide) | 27 | $204 | $331 | $390 | $131–$515 |
| Kansas (statewide) | 22 | $224 | $258 | $552 | $195–$1,231 |
| Kentucky (statewide) | 14 | $262 | $325 | $391 | $100–$1,487 |
| Las Vegas NV | 1 | — | — | — | $1,255–$1,255 |
| Los Angeles CA | 16 | $620 | $833 | $921 | $353–$1,302 |
| Louisiana (statewide) | 21 | $332 | $410 | $436 | $157–$1,008 |
| Maine (statewide) | 17 | $795 | $893 | $924 | $197–$1,161 |
| Maryland (statewide) | 1 | — | — | — | $546–$546 |
| Massachusetts (statewide) | 10 | $196 | $246 | $296 | $188–$930 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $166–$1,254 |
| Michigan (statewide) | 30 | $152 | $186 | $218 | $110–$313 |
| Minneapolis-St. Paul MN | 11 | $442 | $586 | $976 | $276–$1,018 |
| Minnesota (statewide) | 14 | $528 | $607 | $724 | $431–$1,597 |
| Mississippi (statewide) | 13 | $238 | $311 | $356 | $203–$680 |
| Missouri (statewide) | 20 | $195 | $255 | $398 | $104–$996 |
| Montana (statewide) | 5 | $387 | $408 | $571 | $104–$583 |
| Nashville TN | 8 | $348 | $706 | $990 | $260–$990 |
| Nebraska (statewide) | 20 | $225 | $270 | $593 | $142–$898 |
| Nevada (statewide) | 2 | — | — | — | $402–$466 |
| New Hampshire (statewide) | 6 | $854 | $974 | $1,080 | $658–$1,425 |
| New Jersey (statewide) | 24 | $215 | $225 | $415 | $212–$868 |
| New Mexico (statewide) | 5 | $292 | $308 | $583 | $278–$857 |
| New York (statewide) | 40 | $272 | $400 | $700 | $146–$1,635 |
| New York City | 8 | $294 | $746 | $746 | $267–$757 |
| North Carolina (statewide) | 6 | $335 | $494 | $506 | $182–$772 |
| North Dakota (statewide) | 6 | $285 | $343 | $427 | $158–$519 |
| Ohio (statewide) | 38 | $292 | $489 | $606 | $149–$893 |
| Oklahoma (statewide) | 15 | $272 | $406 | $498 | $113–$774 |
| Oregon (statewide) | 15 | $322 | $497 | $698 | $115–$1,336 |
| Pennsylvania (statewide) | 33 | $300 | $416 | $662 | $122–$919 |
| Philadelphia PA | 10 | $257 | $404 | $588 | $239–$1,356 |
| Phoenix AZ | 6 | $830 | $830 | $1,294 | $830–$1,448 |
| Pittsburgh PA | 10 | $332 | $498 | $708 | $249–$1,012 |
| Portland OR | 9 | $618 | $618 | $752 | $532–$752 |
| Research Triangle NC | 1 | — | — | — | $788–$788 |
| Rhode Island (statewide) | 4 | — | — | — | $268–$914 |
| Richmond VA | 3 | — | — | — | $1,203–$1,203 |
| Rio Grande Valley TX | 3 | — | — | — | $248–$914 |
| Salt Lake City UT | 9 | $397 | $401 | $401 | $180–$401 |
| San Antonio TX | 3 | — | — | — | $301–$1,174 |
| San Diego CA | 6 | $436 | $436 | $436 | $363–$473 |
| San Francisco Bay Area CA | 5 | $352 | $352 | $667 | $294–$1,116 |
| Seattle-Tacoma WA | 16 | $561 | $588 | $724 | $521–$740 |
| South Carolina (statewide) | 31 | $344 | $494 | $710 | $252–$1,040 |
| South Dakota (statewide) | 4 | — | — | — | $246–$963 |
| St. Louis MO | 1 | — | — | — | $1,199–$1,199 |
| Tampa FL | 6 | $202 | $202 | $564 | $202–$1,320 |
| Tennessee (statewide) | 25 | $204 | $274 | $408 | $190–$1,028 |
| Texas (statewide) | 71 | $258 | $467 | $996 | $114–$1,573 |
| Utah (statewide) | 6 | $202 | $322 | $375 | $180–$401 |
| Vermont (statewide) | 3 | — | — | — | $220–$799 |
| Virginia (statewide) | 11 | $600 | $649 | $682 | $484–$978 |
| Washington (statewide) | 16 | $436 | $560 | $590 | $229–$1,092 |
| Washington DC | 11 | $746 | $1,043 | $1,043 | $322–$1,373 |
| West Virginia (statewide) | 13 | $106 | $167 | $220 | $105–$786 |
| Wisconsin (statewide) | 37 | $588 | $1,068 | $1,328 | $162–$1,377 |
| Wyoming (statewide) | 2 | — | — | — | $143–$143 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ephraim Mcdowell Regional Medical Center | Kentucky (statewide) | $100 | 0.5× | 1 | 2026-03-09 |
| Trinity Health Oakland Hospital | Detroit MI | $104 | 0.5× | 26 | 2026-03-31 |
| Phelps Health | Missouri (statewide) | $104 | 0.5× | 1 | 2026-02-26 |
| Community Hospital Of Anaconda | Montana (statewide) | $104 | 0.5× | 1 | 2026-07-20 |
| West Virginia University Hospitals, Inc | West Virginia (statewide) | $105 | 0.6× | 1 | 2026-07-10 |
| Larkin Community Hospital | Florida (statewide) | $106 | 0.5× | 2 | 2026-07-07 |
| United Hospital Center, Inc | West Virginia (statewide) | $106 | 0.6× | 3 | 2026-07-10 |
| Berkeley Medical Center | West Virginia (statewide) | $106 | 0.6× | 3 | 2026-07-09 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $106 | 0.6× | 3 | 2026-07-09 |
| Camden Clark Medical Center | West Virginia (statewide) | $106 | 0.6× | 3 | 2026-07-09 |
| Northwest Florida Community Hospital | Florida (statewide) | $110 | 0.5× | 1 | 2026-05-19 |
| Helen Newberry Joy Hospital | Michigan (statewide) | $110 | 0.6× | 1 | 2026-09-02 |
| Medical City Denton | Dallas-Fort Worth TX | $1,573 | 7.8× | 3 | 2026-09-01 |
| Medical City Dallas | Dallas-Fort Worth TX | $1,573 | 7.8× | 3 | 2026-09-01 |
| Medical City Plano | Dallas-Fort Worth TX | $1,573 | 7.8× | 3 | 2026-09-01 |
| Medical City Lewisville | Texas (statewide) | $1,573 | 7.8× | 3 | 2026-09-01 |
| Medical City Arlington | Texas (statewide) | $1,573 | 7.8× | 3 | 2026-09-01 |
| Medical City Las Colinas | Texas (statewide) | $1,573 | 7.8× | 3 | 2026-09-01 |
| Medical City Alliance | Texas (statewide) | $1,573 | 7.8× | 3 | 2026-09-01 |
| Hca Florida Mercy Hospital | Florida (statewide) | $1,575 | 7.6× | 1 | 2026-09-01 |
| Providence Redwood Memorial Hospital | California (statewide) | $1,590 | 6.2× | 2 | 2026-04-01 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $1,597 | 7.8× | 1 | 2026-01-28 |
| Parkview Medical Center, Inc | Colorado (statewide) | $1,598 | 7.6× | 3 | 2025-11-01 |
| Samaritan Hospital | New York (statewide) | $1,635 | 6.6× | 1 | 2026-03-31 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for nasal endoscopy?
Across 1167 hospitals in 82 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 31231, hospital outpatient is $419, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $242 to $746. 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: Ephraim Mcdowell Regional Medical Center ($100), Trinity Health Oakland Hospital ($104), Phelps Health ($104). Highest: Samaritan Hospital ($1,635), Parkview Medical Center, Inc ($1,598), Grand Itasca Clinic And Hospital ($1,597). Coverage: every hospital whose price file we could read.