CPT code 31276: Frontal sinus endoscopy, tissue removal when performed2026 Medicare rate & RVUs in Utah

In Utah, Medicare pays $310.74 for 31276 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 31276 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 31276 covers

An otolaryngologist, often a rhinologist, uses an endoscope through the nasal cavity to surgically access and explore the frontal sinus. The procedure is commonly performed in an operating room for chronic frontal sinusitis or an obstructed frontal drainage pathway; tissue such as inflammatory tissue may be removed when indicated. The code represents frontal sinus work, not ethmoidectomy or balloon dilation alone.

Report it when the operative note supports surgical frontal sinus exploration and identifies the side treated; document any tissue removal and additional sinus procedures performed. A 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, CMS applies endoscopy family pricing. For bilateral surgery, modifier 50 is paid at 150%. CMS does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Utah compares for 31276

Across 109 of 109 payment localities, the facility rate for 31276 runs from $292.94 in Nebraska to $417.77 in Alaska. Utah pays $310.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

31276 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 31276 in every payment locality

How the 31276 rate is calculated

Each of 31276’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 31276

The CMS indicators that decide how 31276 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 31276

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 31276 has changed in Utah

Price 31276 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates