Price Checker / CPT 31002

How much does Irrigation Sphenoid Sinus cost?

CPT 31002 · Based on 2026 Medicare rates and hospital-published pricing

A fair cash price for this is roughly $250–$500.

Fair price

$250–$500

What this should cost

With insurance

~$2,500

Typical out-of-pocket

Overcharged if over

$630

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About Irrigation Sphenoid Sinus

CPT code 31002 refers to irrigation sphenoid sinus (billing description: "Irrigation sphenoid sinus"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $167 in a facility (hospital or surgery center) and $167 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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