Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX
Biddeford, ME
See all hospitals reporting CPT 31231 →Price type
MaineHealth’s median price of $159 is 43% below the median hospital's median price ($278), higher than 12% of the 1,941 hospitals reporting CPT 31231. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 18 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare medicare advantage case rate · both | $61 | $61 | — | — | — | $61 – $61 |
| 2 | Anthem medicare advantage case rate · both | $62 | $62 | — | — | — | $62 – $62 |
| 3 | Aetna medicare advantage case rate · both | $62 | $62 | — | — | — | $62 – $62 |
| 4 | Humana medicare advantage case rate · both | $70 | $70 | — | — | — | $70 – $70 |
| 5 | WellCare medicare advantage case rate · both | $70 | $70 | — | — | — | $70 – $70 |
| 6 | Aetna hmo fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 7 | Aetna ppo fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 8 | MultiPlan commercial fee schedule · both | $119 | $119 | — | — | — | $119 – $119 |
| 9 | UnitedHealthcare commercial fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 10 | Anthem hmo/pos/ppo/pathway enhanced fee schedule · both | $131 | $131 | — | — | — | $131 – $131 |
| 11 | Aetna medicare advantage fee schedule · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 12 | Humana medicare advantage fee schedule · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 13 | UnitedHealthcare medicare advantage fee schedule · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 14 | Anthem medicare advantage fee schedule · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 15 | WellCare medicare advantage fee schedule · outpatient | $194 | $194 | — | — | — | $194 – $194 |
| 16 | Cigna oap fee schedule · both | $347 | $347 | — | — | — | $347 – $347 |
| 17 | Cigna ppo fee schedule · both | $347 | $347 | — | — | — | $347 – $347 |
| 18 | Anthem hmo/pos/ppo/pathway enhanced fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
Last updated: Sep 9, 2025
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