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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 31298
  4. Cost Analysis

How Much Does Dilation of sphenoid and frontal nasal sinus using an endoscope Cost on Medicare?

Cost analysis for CPT 31298 — Dilation of sphenoid and frontal nasal sinus using an endoscope

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Average Medicare Payment

$3608.04

2023 data

Total Payments (2023)

$22.9M

Services (2023)

6.2K

Price Change (2018–2023)

-16.8%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2018$4338.81$29.9M6.9K—
2019$4294.77$33.0M7.6K-1.0%
2020$4146.39$23.9M5.6K-3.5%
2021$4124.37$22.3M5.2K-0.5%
2022$3767.19$22.8M5.9K-8.7%
2023$3608.04$22.9M6.2K-4.2%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.4x more than the cheapest for this procedure. NY averages $4336.36 vs LA at $2993.02.

StateAvg PaymentTotal PaymentsServicesProviders
NY$4336.36$550.7K1276
CT$4129.67$483.2K1172
CA$4094.51$5.2M1.3K32
NV$3787.23$1.5M4076
FL$3670.80$1.8M49819
TX$3648.44$3.9M1.1K39
MO$3611.36$762.0K2113
OK$3599.31$550.7K1532
AZ$3598.36$3.2M88612
VA$3571.26$471.4K1323
OH$3376.83$361.3K1074
AL$3352.63$445.9K1336
IN$3140.14$593.5K1895
LA$2993.02$562.7K1884

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Madison RichardsonOtolaryngologyCA$761.1K170$4477.23
Brian LeeOtolaryngologyAZ$738.4K204$3619.80
James GouldOtolaryngologyMO$640.3K176$3637.97
Franklyn GergitsOtolaryngologyAZ$617.9K172$3592.35
Vincent NalboneOtolaryngologyNV$567.9K150$3785.86
Martin HoppOtolaryngologyCA$562.1K123$4570.16
Michael KaplanOtolaryngologyTX$516.4K136$3796.88
Naveen KumarOtolaryngologyAZ$506.2K142$3564.55
Bryan SmedleyOtolaryngologyOK$503.5K139$3622.51
Stacey HudsonOtolaryngologyNV$458.7K120$3822.16
Edgar LuegOtolaryngologyCA$401.3K90$4459.19
Daniel MckennaOtolaryngologyFL$391.5K100$3915.15
James OsborneOtolaryngologyAZ$377.0K103$3659.83
Ted ShenOtolaryngologyCA$366.5K82$4469.78
Meir HershcovitchOtolaryngologyCA$361.6K85$4254.58
James ObermanOtolaryngologyMD$357.5K99$3611.53
Matthew BlairOtolaryngologyLA$335.8K104$3228.94
Robert WeissOtolaryngologyCT$307.6K75$4100.75
Michael BublikOtolaryngologyCA$300.1K69$4349.26
Alen CohenOtolaryngologyCA$292.2K66$4427.89

🤔 Is Dilation of sphenoid and frontal nasal sinus using an endoscope Overpriced?

Based on the data, CPT 31298 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.

Costs have decreased 16.8% since 2018. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.