Cost analysis for CPT 31298 — Dilation of sphenoid and frontal nasal sinus using an endoscope
Average Medicare Payment
$3608.04
2023 data
Total Payments (2023)
$22.9M
Services (2023)
6.2K
Price Change (2018–2023)
-16.8%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2018 | $4338.81 | $29.9M | 6.9K | — |
| 2019 | $4294.77 | $33.0M | 7.6K | -1.0% |
| 2020 | $4146.39 | $23.9M | 5.6K | -3.5% |
| 2021 | $4124.37 | $22.3M | 5.2K | -0.5% |
| 2022 | $3767.19 | $22.8M | 5.9K | -8.7% |
| 2023 | $3608.04 | $22.9M | 6.2K | -4.2% |
The most expensive state pays 1.4x more than the cheapest for this procedure. NY averages $4336.36 vs LA at $2993.02.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NY | $4336.36 | $550.7K | 127 | 6 |
| CT | $4129.67 | $483.2K | 117 | 2 |
| CA | $4094.51 | $5.2M | 1.3K | 32 |
| NV | $3787.23 | $1.5M | 407 | 6 |
| FL | $3670.80 | $1.8M | 498 | 19 |
| TX | $3648.44 | $3.9M | 1.1K | 39 |
| MO | $3611.36 | $762.0K | 211 | 3 |
| OK | $3599.31 | $550.7K | 153 | 2 |
| AZ | $3598.36 | $3.2M | 886 | 12 |
| VA | $3571.26 | $471.4K | 132 | 3 |
| OH | $3376.83 | $361.3K | 107 | 4 |
| AL | $3352.63 | $445.9K | 133 | 6 |
| IN | $3140.14 | $593.5K | 189 | 5 |
| LA | $2993.02 | $562.7K | 188 | 4 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Madison Richardson | Otolaryngology | CA | $761.1K | 170 | $4477.23 |
| Brian Lee | Otolaryngology | AZ | $738.4K | 204 | $3619.80 |
| James Gould | Otolaryngology | MO | $640.3K | 176 | $3637.97 |
| Franklyn Gergits | Otolaryngology | AZ | $617.9K | 172 | $3592.35 |
| Vincent Nalbone | Otolaryngology | NV | $567.9K | 150 | $3785.86 |
| Martin Hopp | Otolaryngology | CA | $562.1K | 123 | $4570.16 |
| Michael Kaplan | Otolaryngology | TX | $516.4K | 136 | $3796.88 |
| Naveen Kumar | Otolaryngology | AZ | $506.2K | 142 | $3564.55 |
| Bryan Smedley | Otolaryngology | OK | $503.5K | 139 | $3622.51 |
| Stacey Hudson | Otolaryngology | NV | $458.7K | 120 | $3822.16 |
| Edgar Lueg | Otolaryngology | CA | $401.3K | 90 | $4459.19 |
| Daniel Mckenna | Otolaryngology | FL | $391.5K | 100 | $3915.15 |
| James Osborne | Otolaryngology | AZ | $377.0K | 103 | $3659.83 |
| Ted Shen | Otolaryngology | CA | $366.5K | 82 | $4469.78 |
| Meir Hershcovitch | Otolaryngology | CA | $361.6K | 85 | $4254.58 |
| James Oberman | Otolaryngology | MD | $357.5K | 99 | $3611.53 |
| Matthew Blair | Otolaryngology | LA | $335.8K | 104 | $3228.94 |
| Robert Weiss | Otolaryngology | CT | $307.6K | 75 | $4100.75 |
| Michael Bublik | Otolaryngology | CA | $300.1K | 69 | $4349.26 |
| Alen Cohen | Otolaryngology | CA | $292.2K | 66 | $4427.89 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.