Price AtlasInteractive atlas · All states · techysurgeon.comSinus surgery (endoscopic): what insurers pay
Endoscopic sinus surgery: maxillary (31267/31256), total ethmoid (31255) or frontal (31276). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 31267: Sinus Surgery (Endoscopic)
1011 hospitals in 79 markets. National Medicare rate $7,210, surgery center $2,451.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 9 | $6,536 | $7,758 | $7,940 | $5,495–$12,344 |
| Alaska (statewide) | 2 | — | — | — | $9,193–$14,370 |
| Arizona (statewide) | 10 | $4,370 | $5,166 | $7,519 | $4,000–$11,826 |
| Arkansas (statewide) | 10 | $5,310 | $7,334 | $8,401 | $3,876–$9,568 |
| Atlanta GA | 6 | $5,886 | $5,886 | $5,967 | $5,886–$5,994 |
| Austin TX | 13 | $5,223 | $5,800 | $5,800 | $5,223–$10,002 |
| Boston MA | 12 | $7,855 | $10,168 | $11,305 | $6,311–$12,933 |
| California (statewide) | 55 | $9,407 | $13,842 | $24,572 | $4,955–$26,195 |
| Charlotte NC | 5 | $8,230 | $8,230 | $8,230 | $8,118–$8,230 |
| Chicago IL | 8 | $7,040 | $7,944 | $9,688 | $5,908–$12,184 |
| Cleveland OH | 10 | $4,992 | $7,345 | $11,275 | $4,092–$14,021 |
| Colorado (statewide) | 15 | $8,528 | $11,646 | $13,049 | $6,550–$16,294 |
| Columbus OH | 1 | — | — | — | $25,384–$25,384 |
| Connecticut (statewide) | 2 | — | — | — | $5,370–$29,404 |
| Dallas-Fort Worth TX | 12 | $6,074 | $6,794 | $10,351 | $5,023–$16,206 |
| Delaware (statewide) | 1 | — | — | — | $19,179–$19,179 |
| Denver CO | 15 | $6,550 | $7,200 | $14,873 | $5,836–$16,218 |
| Detroit MI | 8 | $5,114 | $6,966 | $7,166 | $4,379–$8,185 |
| Florida (statewide) | 61 | $7,088 | $8,742 | $10,148 | $5,618–$19,365 |
| Georgia (statewide) | 26 | $5,913 | $6,056 | $9,694 | $4,257–$20,606 |
| Hawaii (statewide) | 3 | — | — | — | $5,980–$8,902 |
| Houston TX | 18 | $5,000 | $5,072 | $8,750 | $4,664–$13,470 |
| Idaho (statewide) | 14 | $5,562 | $6,722 | $14,804 | $4,778–$20,737 |
| Illinois (statewide) | 27 | $6,563 | $7,295 | $14,182 | $3,975–$20,566 |
| Indiana (statewide) | 30 | $11,200 | $15,448 | $22,980 | $5,590–$36,385 |
| Indianapolis IN | 1 | — | — | — | $24,625–$24,625 |
| Iowa (statewide) | 16 | $7,945 | $11,576 | $15,080 | $5,794–$21,417 |
| Kansas (statewide) | 13 | $5,537 | $5,996 | $9,734 | $4,969–$14,370 |
| Kentucky (statewide) | 13 | $4,396 | $8,436 | $9,017 | $3,363–$13,018 |
| Las Vegas NV | 2 | — | — | — | $6,125–$9,721 |
| Los Angeles CA | 17 | $7,815 | $9,369 | $12,661 | $6,626–$20,636 |
| Louisiana (statewide) | 19 | $5,178 | $6,289 | $6,470 | $4,020–$11,700 |
| Maine (statewide) | 15 | $28,365 | $32,534 | $32,931 | $17,343–$41,403 |
| Massachusetts (statewide) | 5 | $5,887 | $6,726 | $7,670 | $5,680–$10,548 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $8,981–$8,981 |
| Michigan (statewide) | 17 | $5,778 | $6,406 | $7,032 | $3,945–$11,730 |
| Minneapolis-St. Paul MN | 8 | $7,622 | $10,719 | $13,085 | $4,518–$15,835 |
| Minnesota (statewide) | 11 | $13,276 | $19,428 | $22,658 | $9,667–$30,248 |
| Mississippi (statewide) | 8 | $8,204 | $9,364 | $10,232 | $6,350–$12,778 |
| Missouri (statewide) | 16 | $6,291 | $6,726 | $8,048 | $4,671–$18,477 |
| Montana (statewide) | 4 | — | — | — | $6,181–$20,189 |
| Nashville TN | 7 | $5,110 | $5,232 | $7,756 | $3,411–$13,379 |
| Nebraska (statewide) | 11 | $8,208 | $8,645 | $9,672 | $5,178–$18,020 |
| Nevada (statewide) | 4 | — | — | — | $6,125–$16,485 |
| New Hampshire (statewide) | 6 | $13,255 | $15,550 | $21,848 | $4,503–$31,604 |
| New Jersey (statewide) | 15 | $8,032 | $8,152 | $10,140 | $4,551–$14,948 |
| New Mexico (statewide) | 7 | $11,470 | $13,614 | $14,904 | $3,777–$20,616 |
| New York (statewide) | 29 | $7,096 | $10,219 | $15,116 | $5,662–$22,112 |
| New York City | 8 | $6,724 | $6,742 | $8,736 | $6,360–$10,680 |
| North Carolina (statewide) | 3 | — | — | — | $5,724–$15,322 |
| North Dakota (statewide) | 5 | $10,006 | $11,976 | $12,086 | $5,176–$15,638 |
| Ohio (statewide) | 34 | $9,031 | $12,516 | $15,323 | $4,165–$27,126 |
| Oklahoma (statewide) | 10 | $6,967 | $9,054 | $13,728 | $6,165–$16,926 |
| Oregon (statewide) | 7 | $17,727 | $19,372 | $25,830 | $13,087–$31,606 |
| Pennsylvania (statewide) | 36 | $7,726 | $13,094 | $19,025 | $5,524–$32,464 |
| Philadelphia PA | 11 | $6,788 | $7,409 | $9,416 | $6,259–$11,208 |
| Phoenix AZ | 6 | $4,058 | $4,231 | $4,231 | $4,000–$4,231 |
| Pittsburgh PA | 9 | $5,890 | $12,550 | $14,484 | $5,031–$17,424 |
| Portland OR | 9 | $13,320 | $13,320 | $17,193 | $12,290–$17,193 |
| Rhode Island (statewide) | 4 | — | — | — | $7,807–$13,288 |
| Richmond VA | 3 | — | — | — | $7,208–$7,672 |
| Rio Grande Valley TX | 3 | — | — | — | $5,830–$8,813 |
| Salt Lake City UT | 9 | $5,354 | $5,354 | $5,530 | $5,354–$5,530 |
| San Antonio TX | 3 | — | — | — | $5,154–$9,912 |
| San Diego CA | 6 | $15,431 | $15,431 | $15,431 | $12,844–$16,738 |
| San Francisco Bay Area CA | 5 | $9,816 | $10,212 | $13,068 | $7,042–$24,307 |
| Seattle-Tacoma WA | 16 | $17,342 | $18,956 | $24,180 | $15,887–$27,108 |
| South Carolina (statewide) | 17 | $9,733 | $12,154 | $14,418 | $6,452–$14,603 |
| South Dakota (statewide) | 2 | — | — | — | $10,609–$24,348 |
| St. Louis MO | 3 | — | — | — | $7,641–$10,429 |
| Tampa FL | 6 | $10,496 | $10,706 | $10,706 | $9,599–$10,706 |
| Tennessee (statewide) | 21 | $5,395 | $6,723 | $7,696 | $3,236–$14,122 |
| Texas (statewide) | 71 | $5,048 | $6,720 | $9,303 | $4,236–$36,385 |
| Utah (statewide) | 7 | $5,266 | $5,616 | $6,231 | $5,177–$23,573 |
| Virginia (statewide) | 19 | $10,381 | $12,599 | $17,140 | $5,334–$21,715 |
| Washington (statewide) | 11 | $17,565 | $19,692 | $24,748 | $7,051–$41,561 |
| Washington DC | 9 | $5,955 | $5,955 | $6,353 | $4,599–$7,357 |
| West Virginia (statewide) | 8 | $11,862 | $17,837 | $24,285 | $7,684–$46,985 |
| Wisconsin (statewide) | 32 | $7,250 | $7,250 | $14,324 | $4,959–$21,212 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Livingston Regional Hospital | Tennessee (statewide) | $3,236 | 0.5× | 1 | 2026-04-01 |
| Chi Saint Joseph Berea Nf | Kentucky (statewide) | $3,363 | 0.5× | 1 | 2026-02-28 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,411 | 0.5× | 1 | 2026-01-01 |
| King'S Daughters' Medical Center | Kentucky (statewide) | $3,467 | 0.5× | 2 | 2026-09-25 |
| Presbyterian Santa Fe Medical Center | New Mexico (statewide) | $3,777 | 0.5× | 1 | 2026-04-01 |
| Washington Regional Medical Center | Arkansas (statewide) | $3,876 | 0.6× | 5 | 2026-04-01 |
| Oaklawn Hospital | Michigan (statewide) | $3,945 | 0.6× | 2 | 2026-03-27 |
| Northwestern Medicine Delnor Community Hospital | Illinois (statewide) | $3,975 | 0.5× | 1 | 2026-04-01 |
| Bradley County Medical Center | Arkansas (statewide) | $4,000 | 0.6× | 1 | 2026-04-08 |
| Honorhealth Tempe Medical Center | Arizona (statewide) | $4,000 | 0.5× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $4,000 | 0.5× | 2 | 2026-04-01 |
| HonorHealth Sonoran Crossing Medical Center | Phoenix AZ | $4,000 | 0.5× | 2 | 2026-04-01 |
| Mainehealth Pen Bay Hospital | Maine (statewide) | $32,534 | 4.7× | 1 | 2025-09-09 |
| Northern Light Mercy Hospital | Maine (statewide) | $32,931 | 4.6× | 2 | 2026-04-15 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Mainehealth Waldo Hospital | Maine (statewide) | $34,012 | 4.9× | 1 | 2025-09-09 |
| Northern Light Mayo Hospital | Maine (statewide) | $34,684 | 5.0× | 2 | 2026-03-30 |
| Parkview Regional Medical Center | Indiana (statewide) | $36,385 | 4.9× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $36,385 | 5.1× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $41,403 | 6.0× | 1 | 2025-09-09 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $41,561 | 5.0× | 4 | 2026-08-27 |
| Logan Regional Medical Center | West Virginia (statewide) | $46,985 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 31255: Sinus Surgery (Endoscopic)
987 hospitals in 77 markets. National Medicare rate $7,210, surgery center $2,451.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 9 | $5,419 | $6,536 | $7,912 | $3,527–$12,344 |
| Alaska (statewide) | 2 | — | — | — | $8,760–$20,564 |
| Arizona (statewide) | 7 | $5,613 | $5,939 | $6,183 | $4,338–$8,493 |
| Arkansas (statewide) | 11 | $6,383 | $7,109 | $7,955 | $4,592–$9,568 |
| Atlanta GA | 6 | $7,040 | $7,040 | $7,463 | $7,040–$7,604 |
| Austin TX | 13 | $5,223 | $6,450 | $6,450 | $5,223–$10,103 |
| Boston MA | 11 | $8,220 | $10,772 | $11,420 | $6,311–$12,933 |
| California (statewide) | 54 | $9,407 | $17,280 | $25,749 | $5,831–$26,195 |
| Charlotte NC | 5 | $8,230 | $8,230 | $8,230 | $8,118–$8,230 |
| Chicago IL | 8 | $7,687 | $8,587 | $10,219 | $5,081–$11,462 |
| Cleveland OH | 11 | $5,582 | $7,345 | $10,650 | $4,118–$11,858 |
| Colorado (statewide) | 14 | $8,966 | $10,883 | $13,409 | $5,944–$14,905 |
| Columbus OH | 1 | — | — | — | $25,384–$25,384 |
| Connecticut (statewide) | 2 | — | — | — | $6,108–$29,404 |
| Dallas-Fort Worth TX | 12 | $9,352 | $9,604 | $10,351 | $7,800–$19,870 |
| Denver CO | 15 | $8,874 | $9,235 | $11,857 | $5,619–$13,773 |
| Detroit MI | 8 | $5,544 | $7,166 | $7,510 | $4,748–$8,438 |
| Florida (statewide) | 60 | $8,326 | $9,252 | $10,610 | $4,694–$16,073 |
| Georgia (statewide) | 26 | $7,040 | $7,604 | $10,456 | $3,108–$22,722 |
| Hawaii (statewide) | 3 | — | — | — | $8,135–$8,902 |
| Houston TX | 18 | $6,077 | $6,279 | $7,762 | $5,963–$13,470 |
| Idaho (statewide) | 13 | $5,562 | $6,922 | $15,624 | $4,778–$20,737 |
| Illinois (statewide) | 27 | $7,434 | $10,044 | $13,944 | $5,282–$20,566 |
| Indiana (statewide) | 26 | $9,557 | $14,860 | $20,580 | $5,590–$36,385 |
| Iowa (statewide) | 14 | $10,154 | $12,892 | $15,274 | $7,210–$21,417 |
| Kansas (statewide) | 14 | $7,455 | $8,018 | $9,778 | $4,956–$20,564 |
| Kentucky (statewide) | 14 | $4,810 | $7,724 | $8,394 | $3,423–$11,459 |
| Las Vegas NV | 2 | — | — | — | $4,065–$8,919 |
| Los Angeles CA | 17 | $10,110 | $11,756 | $12,661 | $6,423–$22,055 |
| Louisiana (statewide) | 23 | $5,410 | $6,289 | $6,470 | $4,130–$11,994 |
| Maine (statewide) | 15 | $28,365 | $32,534 | $32,931 | $17,343–$41,403 |
| Massachusetts (statewide) | 3 | — | — | — | $7,670–$9,615 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $12,924–$12,924 |
| Michigan (statewide) | 14 | $5,478 | $6,719 | $7,472 | $3,945–$11,730 |
| Minneapolis-St. Paul MN | 7 | $5,234 | $5,234 | $11,623 | $5,022–$14,900 |
| Minnesota (statewide) | 11 | $10,511 | $19,428 | $22,658 | $4,349–$30,248 |
| Mississippi (statewide) | 13 | $7,196 | $7,922 | $9,452 | $6,236–$17,649 |
| Missouri (statewide) | 16 | $4,885 | $7,630 | $9,342 | $4,000–$12,460 |
| Montana (statewide) | 3 | — | — | — | $13,744–$20,189 |
| Nashville TN | 7 | $5,633 | $5,783 | $7,962 | $5,303–$11,938 |
| Nebraska (statewide) | 11 | $9,385 | $11,294 | $11,514 | $3,978–$23,542 |
| Nevada (statewide) | 3 | — | — | — | $4,065–$4,152 |
| New Hampshire (statewide) | 6 | $13,606 | $16,252 | $21,848 | $5,441–$31,604 |
| New Jersey (statewide) | 14 | $8,032 | $8,092 | $13,307 | $4,688–$22,375 |
| New Mexico (statewide) | 6 | $10,464 | $11,454 | $13,216 | $7,305–$20,616 |
| New York (statewide) | 27 | $8,795 | $10,704 | $13,895 | $5,258–$22,112 |
| New York City | 7 | $5,292 | $8,304 | $10,520 | $5,217–$10,704 |
| North Carolina (statewide) | 2 | — | — | — | $7,209–$15,322 |
| North Dakota (statewide) | 5 | $10,698 | $11,976 | $12,086 | $8,500–$15,638 |
| Ohio (statewide) | 36 | $8,568 | $13,094 | $17,970 | $3,960–$27,126 |
| Oklahoma (statewide) | 10 | $7,212 | $10,415 | $14,382 | $6,165–$16,926 |
| Oregon (statewide) | 7 | $17,727 | $19,372 | $25,830 | $13,246–$31,606 |
| Pennsylvania (statewide) | 32 | $7,297 | $13,204 | $19,339 | $3,947–$32,464 |
| Philadelphia PA | 11 | $8,341 | $9,528 | $10,078 | $7,916–$12,874 |
| Phoenix AZ | 8 | $5,023 | $5,254 | $5,358 | $4,330–$5,669 |
| Pittsburgh PA | 6 | $12,927 | $14,271 | $14,991 | $11,797–$17,424 |
| Portland OR | 9 | $15,689 | $15,689 | $24,695 | $14,368–$24,695 |
| Rhode Island (statewide) | 4 | — | — | — | $7,807–$13,288 |
| Richmond VA | 3 | — | — | — | $9,358–$9,750 |
| Rio Grande Valley TX | 3 | — | — | — | $7,858–$8,813 |
| Salt Lake City UT | 9 | $5,354 | $5,354 | $5,530 | $5,354–$5,530 |
| San Antonio TX | 3 | — | — | — | $5,849–$8,450 |
| San Diego CA | 6 | $15,431 | $15,431 | $15,431 | $12,844–$16,738 |
| San Francisco Bay Area CA | 5 | $10,299 | $13,043 | $15,210 | $8,492–$36,349 |
| Seattle-Tacoma WA | 16 | $17,342 | $18,628 | $24,180 | $15,887–$27,108 |
| South Carolina (statewide) | 18 | $8,443 | $15,444 | $18,341 | $3,291–$23,229 |
| South Dakota (statewide) | 3 | — | — | — | $9,572–$24,348 |
| St. Louis MO | 3 | — | — | — | $7,641–$10,429 |
| Tampa FL | 6 | $10,706 | $10,706 | $10,706 | $10,246–$15,638 |
| Tennessee (statewide) | 21 | $5,524 | $5,758 | $7,696 | $3,280–$14,122 |
| Texas (statewide) | 72 | $6,627 | $8,884 | $9,560 | $4,236–$36,385 |
| Utah (statewide) | 7 | $5,266 | $5,616 | $6,231 | $5,177–$23,573 |
| Virginia (statewide) | 19 | $13,657 | $16,996 | $20,232 | $6,344–$22,137 |
| Washington (statewide) | 11 | $17,565 | $19,692 | $24,748 | $7,016–$35,766 |
| Washington DC | 9 | $7,397 | $7,397 | $7,907 | $5,781–$9,256 |
| West Virginia (statewide) | 3 | — | — | — | $7,684–$46,985 |
| Wisconsin (statewide) | 30 | $10,484 | $10,492 | $13,165 | $6,324–$21,212 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Adventhealth Gordon | Georgia (statewide) | $3,108 | 0.5× | 1 | 2026-04-01 |
| Livingston Regional Hospital | Tennessee (statewide) | $3,280 | 0.5× | 2 | 2026-04-01 |
| Musc Health Marion Medical Center | South Carolina (statewide) | $3,291 | 0.5× | 1 | 2026-04-01 |
| King'S Daughters' Medical Center | Kentucky (statewide) | $3,423 | 0.5× | 2 | 2026-09-25 |
| Norton Hospital | Kentucky (statewide) | $3,447 | 0.5× | 1 | 2026-02-11 |
| Prattville Baptist Hospital | Alabama (statewide) | $3,527 | 0.6× | 1 | 2025-12-30 |
| Atrium Health Navicent Peach | Georgia (statewide) | $3,777 | 0.6× | 2 | 2025-11-19 |
| Oaklawn Hospital | Michigan (statewide) | $3,945 | 0.6× | 2 | 2026-03-27 |
| St Mary Medical Center | Pennsylvania (statewide) | $3,947 | 0.6× | 20 | 2026-03-31 |
| University Hospitals Samaritan Medical Center | Ohio (statewide) | $3,960 | 0.6× | 1 | 2026-07-14 |
| Henderson Community Hospital | Nebraska (statewide) | $3,978 | 0.5× | 5 | 2026-09-01 |
| Nkc Health | Missouri (statewide) | $4,000 | 0.6× | 3 | 2026-03-06 |
| Northern Light Mercy Hospital | Maine (statewide) | $32,931 | 4.6× | 2 | 2026-04-15 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Mainehealth Waldo Hospital | Maine (statewide) | $34,012 | 4.9× | 1 | 2025-09-09 |
| Northern Light Mayo Hospital | Maine (statewide) | $34,684 | 5.0× | 2 | 2026-03-30 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $35,766 | 4.3× | 5 | 2026-08-27 |
| Stanford Health Care | San Francisco Bay Area CA | $36,349 | 3.5× | 4 | 2026-04-01 |
| Parkview Regional Medical Center | Indiana (statewide) | $36,385 | 4.9× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $36,385 | 5.1× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $41,403 | 6.0× | 1 | 2025-09-09 |
| Logan Regional Medical Center | West Virginia (statewide) | $46,985 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 31256: Sinus Surgery (Endoscopic)
1035 hospitals in 80 markets. National Medicare rate $3,809, surgery center $1,696.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 10 | $3,496 | $4,298 | $4,716 | $2,512–$6,638 |
| Alaska (statewide) | 2 | — | — | — | $7,458–$13,705 |
| Arizona (statewide) | 7 | $2,537 | $3,418 | $5,256 | $2,302–$11,826 |
| Arkansas (statewide) | 11 | $2,513 | $3,660 | $4,243 | $1,875–$5,096 |
| Atlanta GA | 6 | $5,324 | $5,324 | $5,688 | $5,324–$5,809 |
| Austin TX | 13 | $2,819 | $5,599 | $5,675 | $2,819–$5,684 |
| Boston MA | 12 | $4,300 | $5,742 | $6,064 | $3,134–$6,886 |
| California (statewide) | 55 | $5,275 | $10,862 | $13,952 | $3,830–$14,310 |
| Charlotte NC | 5 | $4,383 | $4,383 | $4,383 | $4,324–$4,383 |
| Chicago IL | 8 | $5,546 | $6,602 | $7,421 | $3,751–$9,411 |
| Cleveland OH | 11 | $3,566 | $3,902 | $5,368 | $2,453–$6,264 |
| Colorado (statewide) | 14 | $5,516 | $6,147 | $7,716 | $3,705–$10,256 |
| Columbus OH | 1 | — | — | — | $25,384–$25,384 |
| Connecticut (statewide) | 2 | — | — | — | $5,370–$29,404 |
| Dallas-Fort Worth TX | 12 | $5,784 | $5,848 | $6,730 | $5,023–$11,230 |
| Delaware (statewide) | 1 | — | — | — | $10,132–$10,132 |
| Denver CO | 15 | $5,415 | $5,836 | $6,354 | $4,448–$7,200 |
| Detroit MI | 14 | $2,975 | $2,975 | $4,136 | $2,116–$7,166 |
| Florida (statewide) | 65 | $5,646 | $8,162 | $9,018 | $1,954–$16,072 |
| Georgia (statewide) | 28 | $4,131 | $5,652 | $6,282 | $2,228–$17,296 |
| Hawaii (statewide) | 3 | — | — | — | $4,808–$5,144 |
| Houston TX | 19 | $4,336 | $4,807 | $5,154 | $4,144–$7,116 |
| Idaho (statewide) | 14 | $3,277 | $3,840 | $8,612 | $3,258–$11,346 |
| Illinois (statewide) | 26 | $4,756 | $6,266 | $8,282 | $2,880–$10,954 |
| Indiana (statewide) | 25 | $5,917 | $8,826 | $14,108 | $3,529–$24,540 |
| Indianapolis IN | 1 | — | — | — | $15,509–$15,509 |
| Iowa (statewide) | 14 | $6,291 | $7,230 | $8,135 | $4,572–$10,068 |
| Kansas (statewide) | 12 | $4,336 | $5,066 | $5,598 | $3,935–$13,705 |
| Kentucky (statewide) | 15 | $3,610 | $4,476 | $4,941 | $1,845–$6,270 |
| Las Vegas NV | 2 | — | — | — | $2,586–$3,234 |
| Los Angeles CA | 17 | $5,341 | $6,953 | $8,649 | $5,080–$14,342 |
| Louisiana (statewide) | 18 | $3,512 | $3,816 | $5,768 | $2,937–$9,826 |
| Maine (statewide) | 15 | $15,107 | $17,328 | $17,539 | $9,237–$22,052 |
| Massachusetts (statewide) | 4 | — | — | — | $2,503–$5,120 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $6,884–$6,884 |
| Michigan (statewide) | 22 | $2,200 | $3,345 | $3,774 | $1,981–$6,310 |
| Minneapolis-St. Paul MN | 8 | $4,472 | $4,518 | $5,171 | $2,963–$7,936 |
| Minnesota (statewide) | 12 | $6,310 | $10,133 | $12,222 | $2,419–$16,550 |
| Mississippi (statewide) | 9 | $4,283 | $4,888 | $5,266 | $3,538–$6,350 |
| Missouri (statewide) | 14 | $4,628 | $5,854 | $6,335 | $2,633–$7,841 |
| Montana (statewide) | 3 | — | — | — | $7,316–$10,878 |
| Nashville TN | 8 | $4,024 | $4,716 | $5,197 | $1,869–$7,252 |
| Nebraska (statewide) | 11 | $6,658 | $8,645 | $8,645 | $2,586–$18,020 |
| Nevada (statewide) | 4 | — | — | — | $2,460–$3,288 |
| New Hampshire (statewide) | 6 | $6,528 | $10,656 | $12,203 | $2,760–$16,696 |
| New Jersey (statewide) | 15 | $7,429 | $8,032 | $8,941 | $4,342–$11,820 |
| New Mexico (statewide) | 6 | $4,715 | $7,981 | $12,609 | $2,931–$15,903 |
| New York (statewide) | 28 | $4,344 | $6,360 | $8,051 | $3,474–$11,985 |
| New York City | 7 | $4,285 | $4,285 | $6,736 | $4,285–$8,726 |
| North Carolina (statewide) | 3 | — | — | — | $3,928–$9,747 |
| North Dakota (statewide) | 5 | $6,378 | $6,613 | $8,002 | $5,176–$8,556 |
| Ohio (statewide) | 37 | $3,880 | $7,618 | $10,318 | $2,165–$14,330 |
| Oklahoma (statewide) | 10 | $5,375 | $7,048 | $7,626 | $1,861–$10,430 |
| Oregon (statewide) | 7 | $9,442 | $10,392 | $13,775 | $8,373–$16,740 |
| Pennsylvania (statewide) | 34 | $6,318 | $8,264 | $12,742 | $3,012–$24,001 |
| Philadelphia PA | 11 | $6,382 | $6,738 | $7,146 | $5,283–$11,208 |
| Phoenix AZ | 8 | $3,298 | $3,594 | $3,770 | $2,936–$3,770 |
| Pittsburgh PA | 9 | $5,031 | $6,684 | $7,714 | $2,906–$9,280 |
| Portland OR | 9 | $11,261 | $11,261 | $12,747 | $10,767–$12,747 |
| Rhode Island (statewide) | 4 | — | — | — | $4,928–$8,241 |
| Richmond VA | 3 | — | — | — | $7,051–$7,130 |
| Rio Grande Valley TX | 4 | — | — | — | $4,069–$5,830 |
| Salt Lake City UT | 9 | $3,699 | $3,825 | $3,825 | $3,409–$3,951 |
| San Antonio TX | 3 | — | — | — | $4,500–$4,807 |
| San Diego CA | 7 | $8,152 | $8,152 | $8,204 | $6,713–$8,842 |
| San Francisco Bay Area CA | 6 | $7,415 | $10,558 | $12,457 | $6,682–$24,307 |
| Seattle-Tacoma WA | 16 | $10,558 | $10,816 | $13,230 | $9,425–$14,713 |
| South Carolina (statewide) | 19 | $6,641 | $10,620 | $13,952 | $4,014–$14,603 |
| South Dakota (statewide) | 5 | $4,256 | $4,335 | $5,805 | $3,686–$18,147 |
| St. Louis MO | 3 | — | — | — | $2,975–$3,234 |
| Tampa FL | 6 | $9,018 | $9,018 | $9,018 | $5,195–$10,426 |
| Tennessee (statewide) | 21 | $3,198 | $3,864 | $4,774 | $2,567–$7,653 |
| Texas (statewide) | 77 | $4,144 | $5,023 | $5,723 | $2,035–$20,580 |
| Utah (statewide) | 7 | $3,436 | $3,699 | $3,762 | $3,409–$12,701 |
| Vermont (statewide) | 1 | — | — | — | $2,134–$2,134 |
| Virginia (statewide) | 20 | $8,717 | $11,204 | $12,369 | $4,936–$14,453 |
| Washington (statewide) | 11 | $9,507 | $10,888 | $13,444 | $3,839–$22,396 |
| Washington DC | 9 | $5,955 | $5,955 | $5,955 | $4,169–$6,750 |
| West Virginia (statewide) | 7 | $5,691 | $6,279 | $10,826 | $4,093–$24,821 |
| Wisconsin (statewide) | 33 | $6,766 | $7,250 | $9,150 | $3,851–$13,852 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Jackson Purchase Medical Center | Kentucky (statewide) | $1,845 | 0.5× | 1 | 2026-07-10 |
| St Mary'S Regional Medical Center | Oklahoma (statewide) | $1,861 | 0.5× | 1 | 2026-09-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $1,869 | 0.5× | 1 | 2026-01-01 |
| Mercy Hospital Northwest Arkansas | Arkansas (statewide) | $1,875 | 0.5× | 6 | 2026-06-08 |
| Uf Health Leesburg Hospital | Florida (statewide) | $1,954 | 0.5× | 1 | 2026-03-31 |
| Corewell Health Zeeland Hospital | Michigan (statewide) | $1,981 | 0.5× | 1 | 2026-05-01 |
| Corewell Health Big Rapids Hospital | Michigan (statewide) | $1,981 | 0.5× | 1 | 2026-05-01 |
| Corewell Health Gerber Hospital | Michigan (statewide) | $1,981 | 0.5× | 1 | 2026-05-01 |
| Corewell Health Pennock Hospital | Michigan (statewide) | $1,981 | 0.5× | 1 | 2026-05-01 |
| Ennis Regional Medical Center | Texas (statewide) | $2,035 | 0.5× | 1 | 2026-04-01 |
| Baptist Medical Center Jacksonville | Florida (statewide) | $2,064 | 0.5× | 2 | 2026-02-06 |
| Baptist Medical Center - Beaches | Florida (statewide) | $2,064 | 0.5× | 2 | 2026-02-06 |
| Providence Centralia Hospital | Washington (statewide) | $19,821 | 4.8× | 4 | 2026-04-01 |
| Parkview Wabash Hospital, Inc | Indiana (statewide) | $20,368 | 5.2× | 1 | 2026-09-01 |
| Parkview Regional Medical Center | Indiana (statewide) | $20,580 | 5.2× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $20,580 | 5.5× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $22,052 | 6.0× | 1 | 2025-09-09 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $22,396 | 5.2× | 4 | 2026-08-27 |
| Wellspan Chambersburg Hospital | Pennsylvania (statewide) | $24,001 | 6.4× | 2 | 2026-01-01 |
| Stanford Health Care | San Francisco Bay Area CA | $24,307 | 4.4× | 4 | 2026-04-01 |
| Franciscan Health Crown Point | Indiana (statewide) | $24,540 | 6.2× | 3 | 2026-01-01 |
| Logan Regional Medical Center | West Virginia (statewide) | $24,821 | 6.9× | 1 | 2026-04-01 |
| Mount Carmel East | Columbus OH | $25,384 | 7.1× | 24 | 2026-03-31 |
| Saint Francis Hospital & Medical Center | Connecticut (statewide) | $29,404 | 6.5× | 19 | 2026-03-31 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 31276: Sinus Surgery (Endoscopic)
977 hospitals in 77 markets. National Medicare rate $7,210, surgery center $2,451.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 8 | $6,455 | $7,765 | $8,120 | $5,419–$12,344 |
| Alaska (statewide) | 2 | — | — | — | $9,193–$15,112 |
| Arizona (statewide) | 9 | $4,978 | $5,355 | $6,047 | $4,338–$9,414 |
| Arkansas (statewide) | 11 | $4,974 | $6,928 | $8,180 | $3,876–$9,568 |
| Atlanta GA | 6 | $6,285 | $6,285 | $6,917 | $6,285–$7,128 |
| Austin TX | 13 | $5,223 | $6,450 | $6,450 | $5,223–$10,002 |
| Boston MA | 10 | $8,739 | $10,808 | $11,536 | $5,096–$12,933 |
| California (statewide) | 52 | $9,407 | $16,836 | $26,195 | $4,976–$26,195 |
| Charlotte NC | 5 | $8,230 | $8,230 | $8,230 | $8,118–$8,230 |
| Chicago IL | 8 | $7,916 | $9,202 | $10,219 | $6,835–$11,462 |
| Cleveland OH | 10 | $6,405 | $7,454 | $11,275 | $4,827–$14,021 |
| Colorado (statewide) | 13 | $8,429 | $11,025 | $12,884 | $6,957–$13,926 |
| Connecticut (statewide) | 2 | — | — | — | $5,370–$29,404 |
| Dallas-Fort Worth TX | 12 | $8,529 | $9,560 | $10,351 | $7,168–$19,870 |
| Denver CO | 15 | $7,900 | $8,378 | $13,773 | $6,285–$14,454 |
| Detroit MI | 7 | $5,330 | $7,016 | $7,166 | $3,686–$10,900 |
| Florida (statewide) | 59 | $8,336 | $9,226 | $10,052 | $5,618–$16,073 |
| Georgia (statewide) | 26 | $6,412 | $7,128 | $10,456 | $3,108–$20,606 |
| Hawaii (statewide) | 3 | — | — | — | $5,980–$8,902 |
| Houston TX | 18 | $6,077 | $6,312 | $8,857 | $5,814–$13,470 |
| Idaho (statewide) | 14 | $5,718 | $9,050 | $16,214 | $5,562–$20,737 |
| Illinois (statewide) | 27 | $6,795 | $8,448 | $14,182 | $4,175–$20,566 |
| Indiana (statewide) | 28 | $11,200 | $15,448 | $21,380 | $5,590–$36,385 |
| Indianapolis IN | 1 | — | — | — | $29,357–$29,357 |
| Iowa (statewide) | 13 | $8,645 | $13,618 | $15,371 | $6,524–$21,417 |
| Kansas (statewide) | 14 | $6,308 | $7,725 | $9,724 | $5,000–$15,112 |
| Kentucky (statewide) | 13 | $4,396 | $8,293 | $9,017 | $3,363–$13,018 |
| Las Vegas NV | 2 | — | — | — | $6,125–$9,721 |
| Los Angeles CA | 17 | $8,327 | $9,369 | $12,661 | $7,805–$20,636 |
| Louisiana (statewide) | 19 | $5,371 | $6,292 | $6,470 | $4,130–$11,740 |
| Maine (statewide) | 15 | $28,365 | $32,534 | $32,931 | $17,343–$41,403 |
| Massachusetts (statewide) | 4 | — | — | — | $6,726–$11,358 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $9,482–$9,482 |
| Michigan (statewide) | 16 | $3,911 | $6,092 | $7,032 | $3,666–$11,730 |
| Minneapolis-St. Paul MN | 7 | $5,234 | $5,234 | $9,478 | $5,022–$14,900 |
| Minnesota (statewide) | 12 | $8,559 | $18,859 | $22,338 | $5,090–$30,248 |
| Mississippi (statewide) | 8 | $6,593 | $8,318 | $9,376 | $6,206–$11,397 |
| Missouri (statewide) | 15 | $5,652 | $6,348 | $7,513 | $3,883–$18,477 |
| Montana (statewide) | 3 | — | — | — | $13,744–$20,189 |
| Nashville TN | 7 | $5,633 | $5,783 | $8,286 | $3,411–$13,379 |
| Nebraska (statewide) | 11 | $8,638 | $8,645 | $9,560 | $6,125–$18,020 |
| Nevada (statewide) | 3 | — | — | — | $6,125–$6,125 |
| New Hampshire (statewide) | 6 | $13,255 | $15,550 | $21,848 | $6,251–$31,604 |
| New Jersey (statewide) | 13 | $8,032 | $8,032 | $10,881 | $4,551–$14,421 |
| New Mexico (statewide) | 6 | $10,464 | $12,251 | $15,331 | $7,305–$20,616 |
| New York (statewide) | 29 | $8,192 | $10,704 | $15,116 | $5,258–$22,112 |
| New York City | 7 | $5,292 | $6,360 | $9,953 | $5,217–$10,704 |
| North Carolina (statewide) | 4 | — | — | — | $5,724–$15,322 |
| North Dakota (statewide) | 5 | $10,006 | $11,976 | $12,086 | $5,926–$15,638 |
| Ohio (statewide) | 34 | $9,306 | $12,591 | $15,323 | $3,942–$27,126 |
| Oklahoma (statewide) | 9 | $7,678 | $11,768 | $14,382 | $6,165–$16,926 |
| Oregon (statewide) | 7 | $17,727 | $19,372 | $25,830 | $13,246–$31,606 |
| Pennsylvania (statewide) | 33 | $7,775 | $13,868 | $23,584 | $4,699–$32,464 |
| Philadelphia PA | 11 | $6,684 | $7,409 | $8,696 | $6,259–$11,208 |
| Phoenix AZ | 6 | $4,839 | $4,839 | $5,090 | $4,839–$5,174 |
| Pittsburgh PA | 7 | $12,174 | $14,058 | $14,822 | $5,031–$17,424 |
| Portland OR | 9 | $13,320 | $13,320 | $23,964 | $13,078–$23,964 |
| Rhode Island (statewide) | 4 | — | — | — | $7,807–$13,288 |
| Richmond VA | 3 | — | — | — | $7,208–$8,612 |
| Rio Grande Valley TX | 4 | — | — | — | $5,426–$8,813 |
| Salt Lake City UT | 9 | $5,354 | $5,354 | $5,530 | $5,354–$5,530 |
| San Antonio TX | 3 | — | — | — | $6,281–$9,100 |
| San Diego CA | 6 | $15,431 | $15,431 | $15,431 | $12,844–$16,738 |
| San Francisco Bay Area CA | 5 | $10,212 | $10,299 | $12,457 | $8,476–$27,573 |
| Seattle-Tacoma WA | 16 | $17,342 | $18,956 | $24,180 | $15,887–$27,108 |
| South Carolina (statewide) | 17 | $9,204 | $13,992 | $15,196 | $6,452–$17,110 |
| South Dakota (statewide) | 2 | — | — | — | $10,609–$24,348 |
| St. Louis MO | 3 | — | — | — | $7,641–$10,429 |
| Tampa FL | 6 | $9,226 | $9,226 | $9,991 | $9,226–$10,426 |
| Tennessee (statewide) | 21 | $5,783 | $6,723 | $7,608 | $3,280–$14,122 |
| Texas (statewide) | 72 | $6,818 | $8,246 | $9,645 | $3,638–$36,385 |
| Utah (statewide) | 7 | $5,266 | $5,616 | $6,231 | $5,177–$23,573 |
| Virginia (statewide) | 19 | $13,657 | $16,996 | $20,232 | $8,246–$22,137 |
| Washington (statewide) | 11 | $17,565 | $19,692 | $24,748 | $7,051–$41,561 |
| Washington DC | 9 | $7,397 | $7,397 | $7,397 | $6,909–$9,256 |
| West Virginia (statewide) | 5 | $11,886 | $22,942 | $28,026 | $7,684–$46,985 |
| Wisconsin (statewide) | 30 | $9,836 | $10,018 | $13,165 | $4,959–$21,212 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Adventhealth Gordon | Georgia (statewide) | $3,108 | 0.5× | 1 | 2026-04-01 |
| Livingston Regional Hospital | Tennessee (statewide) | $3,280 | 0.5× | 2 | 2026-04-01 |
| Chi Saint Joseph Berea Nf | Kentucky (statewide) | $3,363 | 0.5× | 1 | 2026-02-28 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,411 | 0.5× | 1 | 2026-01-01 |
| King'S Daughters' Medical Center | Kentucky (statewide) | $3,467 | 0.5× | 2 | 2026-09-25 |
| Covenant Medical Center | Texas (statewide) | $3,638 | 0.5× | 4 | 2026-05-15 |
| Trinity Health Grand Rapids Hospital | Michigan (statewide) | $3,666 | 0.5× | 22 | 2026-03-31 |
| Trinity Health Livonia Hospital | Detroit MI | $3,686 | 0.5× | 22 | 2026-03-31 |
| Atrium Health Navicent Peach | Georgia (statewide) | $3,777 | 0.6× | 2 | 2025-11-19 |
| Henry Ford Health Rochester Hospital | Detroit MI | $3,810 | 0.5× | 1 | 2026-01-01 |
| Washington Regional Medical Center | Arkansas (statewide) | $3,876 | 0.6× | 5 | 2026-04-01 |
| Mercy Hospital Joplin | Missouri (statewide) | $3,883 | 0.6× | 9 | 2026-06-09 |
| Mainehealth Pen Bay Hospital | Maine (statewide) | $32,534 | 4.7× | 1 | 2025-09-09 |
| Northern Light Mercy Hospital | Maine (statewide) | $32,931 | 4.6× | 2 | 2026-04-15 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $32,931 | 4.7× | 2 | 2026-03-30 |
| Mainehealth Waldo Hospital | Maine (statewide) | $34,012 | 4.9× | 1 | 2025-09-09 |
| Northern Light Mayo Hospital | Maine (statewide) | $34,684 | 5.0× | 2 | 2026-03-30 |
| Parkview Regional Medical Center | Indiana (statewide) | $36,385 | 4.9× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $36,385 | 5.1× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $41,403 | 6.0× | 1 | 2025-09-09 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $41,561 | 5.0× | 4 | 2026-08-27 |
| Logan Regional Medical Center | West Virginia (statewide) | $46,985 | 6.9× | 1 | 2026-04-01 |
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 sinus surgery (endoscopic)?
Across 1011 hospitals in 79 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 31267, hospital outpatient is $8,880, 1.2× the same hospital's local Medicare base rate. The middle half of hospitals runs $6,349 to $13,824. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for sinus surgery (endoscopic)?
Medicare's national hospital outpatient rate for CPT 31267 is $7,210 and its surgery-center rate is $2,451, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for sinus surgery (endoscopic)?
Lowest medians: Livingston Regional Hospital ($3,236), Chi Saint Joseph Berea Nf ($3,363), Ascension Saint Thomas Hospital (Midtown + West) ($3,411). Highest: Logan Regional Medical Center ($46,985), Mary Bridge Children'S Hospital ($41,561), Mainehealth Lincoln Hospital ($41,403). Coverage: every hospital whose price file we could read.