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CPT 31287 Fee Schedule

Last Verified: December 2025

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Incision Of Nasal (Sphenoid) Sinus Using An Endoscope
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Respiratory System

Common Place of Service

24 - Ambulatory Surgical Center

22 - On Campus Outpatient Hospital

Common Modifiers

None

50 - Bilateral Procedure

LT - Left side of body

Complexity LevelModerate

National average reimbursement for CPT 31287 by major payers:

bcbs

$294.31

uhc

$289.78

aetna

$305.24

cigna

$355.35

Preview provider-level rates for...
For billing codeCPT 31287
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 31287

United
31287$2637.001215900246 - SUNRISE OPHTHALMOLOGY ASC LLC, FOUNDATION FOR ADVANCED EYE CARE201796841FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
31287$4461.001689639262 - OAKWOOD SURGERY CENTER, LTD., LLP621641024 - (TX) OAKWOOD SURGERY CENTER LTD LLPTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
31287$1339.001083837926 - HERITAGE EYE SURGERY CENTER, LLC, PRECISION VISION SURGERY CENTER731097247 - (OK) EDWARD D. GLINSKI, D.O. & ACCOCIATES, INC.OKAmbulatory Surgical Clinic/Center (261QA1903X)
United
31287$2060.001932145109 - VALLEY DIGESTIVE CENTER INC, VALLEY DIGESTIVE HEALTH CENTER204484163CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
31287$2538.001003260498 - NORTHWEST ENDO CENTER LLC812338623 - (IL) NORTHWEST ENDO CENTER LLCILAmbulatory Surgical Clinic/Center (261QA1903X)
United
31287$1800.001922597517 - WGUASC, LLC824397113 - (GA) WGUASC LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
31287$2466.001871557652 - PORT ST LUCIE SURGERY CENTER LTD621600419 - (FL) PORT ST LUCIE SURGERY CENTER LTDFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
31287$1484.001194790592 - UPMC HAMOT SURGERY CENTER, LLC251863661 - (PA) UPMC HAMOT SURGERY CENTER, L.L.C.PAAmbulatory Surgical Clinic/Center (261QA1903X)
United
31287$2050.001154322410 - SUMMIT SURGICAL SUITES, LLC, SOUTHWEST SURGICAL SUITES383641574 - (IN) SUMMIT SURGICAL SUITES LLCINAmbulatory Surgical Clinic/Center (261QA1903X)
United
31287$1998.001174063788 - EMBASSY SURGERY CENTER, LLC815164569 - (CA) EMBASSY SURGERY CENTER, LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
31287$1540.001073026639 - MID CITY SPECIALTY CENTER, LLC822996794 - (LA) MID CITY SPECIALTY CENTER LLCLAAmbulatory Surgical Clinic/Center (261QA1903X)
United
31287$1104.001770753998 - SKIN CANCER TREATMENT CENTER, L.L.C.262051034 - (MD) SKIN CANCER TREATMENT CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
31287$2461.001003887225 - CENTRAL TEXAS ENDOSCOPY CENTER LLC, CENTRAL TEXAS ENDOSCOPY CENTER742863853 - (TX) CENTRAL TEXAS ENDOSCOPY CENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
31287$3400.001073578019 - BLUE RIDGE DAY SURGERY CENTER, LP, BLUE RIDGE DAY SURGERY CENTER621530122 - (NC) BLUE RIDGE DAY SURGERY CENTER LPNCAmbulatory Surgical Clinic/Center (261QA1903X)
United
31287$3500.001154387710 - WARNER PARK SURGERY CENTER LLC, CENTER FOR ADVANCED SURGERY752824260 - (AZ) WARNER PARK SURGERY CENTER LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 31287 vs. Other Surgical Procedures on the Respiratory System Codes

The CPT 31287 code is part of the Surgery services used for Surgical Procedures on the Respiratory System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 31287 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
31050-CPTModerateSinusotomy, Sphenoid, Withor Without Bi
31051-CPTModerateSinusotomy Sphenoid W Polypectomy
31231-CPTModerateNasal Endoscopy Diagnostic Unilateral Bilateral
31287-CPTModerateIncision Of Nasal (Sphenoid) Sinus Using An Endoscope

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31287. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 31287 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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