{"procedure":{"code_type":"CPT","code":"31020","lay_name":"Opening of the cheek sinus through the nose","blurb":"Surgical creation of an opening into the maxillary (cheek) sinus through the inside of the nose to drain it.","slug":"cpt-31020-opening-of-the-cheek-sinus-through-the-nose","description":"Sinusotomy Maxillary Antrotomy Intranasal","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"33","label":"Other OR therapeutic procedures on nose, mouth and pharynx","surgery_flag":"broad"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":404,"n_usable":364,"n_not_usable":1,"n_labelled":32,"n_no_cash":6,"n_estimated":1,"n_states":46,"cash_p10":506.4,"cash_p20":609.35,"cash_p25":740.1,"cash_p50":1937.65,"cash_p75":3986.0,"cash_p80":5036.01,"cash_p90":7893.67,"cash_mean_trimmed":2054.58,"gross_p50":1741.0,"cash_to_gross_p50":0.6,"medicare_rate":3387.27,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.572,"by_state":[{"state":"AK","n":2,"p20":null,"p50":null,"p80":null},{"state":"AL","n":4,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":30,"p20":1574.52,"p50":2240.0,"p80":2240.0},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":9,"p20":null,"p50":null,"p80":null},{"state":"GA","n":8,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":22,"p20":1037.39,"p50":1160.8,"p80":1487.5},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":18,"p20":609.35,"p50":739.9,"p80":5825.0},{"state":"IN","n":6,"p20":null,"p50":null,"p80":null},{"state":"KS","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":27,"p20":506.4,"p50":506.4,"p80":1937.65},{"state":"MN","n":6,"p20":null,"p50":null,"p80":null},{"state":"MO","n":5,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":3,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":5,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":30,"p20":3592.74,"p50":4881.0,"p80":7655.0},{"state":"NM","n":4,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":27,"p20":740.1,"p50":3837.72,"p80":3837.72},{"state":"OH","n":11,"p20":707.11,"p50":954.6,"p80":1507.5},{"state":"OK","n":13,"p20":560.0,"p50":560.0,"p80":6611.96},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":20,"p20":209.44,"p50":548.4,"p80":5482.91},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":24,"p20":2616.15,"p50":2766.91,"p80":5087.97},{"state":"UT","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":2,"p20":null,"p50":null,"p80":null},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WI","n":19,"p20":1136.16,"p50":1937.65,"p80":1937.65},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":300,"p20":609.35,"p50":2240.0,"p80":5269.42},{"key":"childrens","n":8,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":55,"p20":588.0,"p50":1046.97,"p80":2538.25}],"ownership":[{"key":"for_profit","n":47,"p20":655.63,"p50":3172.94,"p80":9566.13},{"key":"government","n":56,"p20":756.9,"p50":1487.5,"p80":6650.73},{"key":"nonprofit","n":260,"p20":560.0,"p50":1781.0,"p80":4145.32}],"affiliation":[{"key":"affiliated","n":299,"p20":609.35,"p50":1937.65,"p80":5319.75},{"key":"independent","n":65,"p20":548.4,"p50":975.0,"p80":3916.95}]},"histogram":[{"lo":341.6,"hi":480.35,"n":17},{"lo":480.35,"hi":675.46,"n":47},{"lo":675.46,"hi":949.82,"n":48},{"lo":949.82,"hi":1335.62,"n":33},{"lo":1335.62,"hi":1878.13,"n":12},{"lo":1878.13,"hi":2640.99,"n":53},{"lo":2640.99,"hi":3713.71,"n":25},{"lo":3713.71,"hi":5222.15,"n":41},{"lo":5222.15,"hi":7343.29,"n":28},{"lo":7343.29,"hi":10326.0,"n":24}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-01","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":224,"n_usable":210,"n_not_usable":0,"n_labelled":10,"n_no_cash":4,"n_estimated":0,"n_states":39,"cash_p10":438.48,"cash_p20":588.0,"cash_p25":609.35,"cash_p50":1160.8,"cash_p75":2309.75,"cash_p80":2766.91,"cash_p90":5507.0,"cash_mean_trimmed":1485.21,"gross_p50":1741.0,"cash_to_gross_p50":0.61,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":25,"p20":1574.52,"p50":2240.0,"p80":2240.0},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":3,"p20":null,"p50":null,"p80":null},{"state":"GA","n":6,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":17,"p20":1160.8,"p50":1160.8,"p80":1160.8},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":13,"p20":609.35,"p50":684.9,"p80":1160.8},{"state":"IN","n":8,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":11,"p20":588.0,"p50":588.0,"p80":1937.65},{"state":"MN","n":3,"p20":null,"p50":null,"p80":null},{"state":"MO","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":2,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":9,"p20":null,"p50":null,"p80":null},{"state":"OH","n":7,"p20":null,"p50":null,"p80":null},{"state":"OK","n":11,"p20":560.0,"p50":560.0,"p80":560.0},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":7,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":5,"p20":null,"p50":null,"p80":null},{"state":"TX","n":20,"p20":2616.15,"p50":2616.15,"p80":2766.91},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":16,"p20":1937.65,"p50":1937.65,"p80":1937.65},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":169,"p20":588.0,"p50":1160.8,"p80":2766.91},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":36,"p20":609.35,"p50":1160.8,"p80":2766.91}],"ownership":[{"key":"for_profit","n":26,"p20":560.0,"p50":919.8,"p80":3211.56},{"key":"government","n":21,"p20":684.9,"p50":937.2,"p80":2506.35},{"key":"nonprofit","n":162,"p20":585.5,"p50":1241.0,"p80":2719.2}],"affiliation":[{"key":"affiliated","n":171,"p20":609.35,"p50":1487.5,"p80":2766.91},{"key":"independent","n":39,"p20":430.0,"p50":823.0,"p80":2309.75}]},"histogram":[{"lo":347.7,"hi":480.29,"n":16},{"lo":480.29,"hi":663.45,"n":31},{"lo":663.45,"hi":916.46,"n":27},{"lo":916.46,"hi":1265.95,"n":27},{"lo":1265.95,"hi":1748.72,"n":9},{"lo":1748.72,"hi":2415.59,"n":39},{"lo":2415.59,"hi":3336.77,"n":19},{"lo":3336.77,"hi":4609.24,"n":4},{"lo":4609.24,"hi":6366.97,"n":13},{"lo":6366.97,"hi":8795.0,"n":10}],"previous":null}},"related":[{"code_type":"CPT","code":"42700","lay_name":"Draining an abscess beside the tonsil","slug":"cpt-42700-draining-an-abscess-beside-the-tonsil"},{"code_type":"CPT","code":"40800","lay_name":"Simple drainage of abscess or blood pocket in the mouth","slug":"cpt-40800-simple-drainage-of-abscess-or-blood-pocket-in-the-mouth"},{"code_type":"CPT","code":"40650","lay_name":"Full-thickness lip repair, red border only","slug":"cpt-40650-full-thickness-lip-repair-red-border-only"},{"code_type":"CPT","code":"40652","lay_name":"Full-thickness lip repair, up to half the lip height","slug":"cpt-40652-full-thickness-lip-repair-up-to-half-the-lip-height"},{"code_type":"CPT","code":"40654","lay_name":"Full-thickness lip repair, more than half the lip height","slug":"cpt-40654-full-thickness-lip-repair-more-than-half-the-lip-height"},{"code_type":"CPT","code":"30000","lay_name":"Drainage of an abscess or blood collection inside the nose","slug":"cpt-30000-drainage-of-an-abscess-or-blood-collection-inside-the-nose"},{"code_type":"CPT","code":"41008","lay_name":"Draining an abscess under the jaw, inside the mouth","slug":"cpt-41008-draining-an-abscess-under-the-jaw-inside-the-mouth"},{"code_type":"CPT","code":"40812","lay_name":"Removal of a mouth lining growth with simple repair","slug":"cpt-40812-removal-of-a-mouth-lining-growth-with-simple-repair"},{"code_type":"CPT","code":"42330","lay_name":"Removal of salivary stone through the mouth, simple","slug":"cpt-42330-removal-of-salivary-stone-through-the-mouth-simple"},{"code_type":"CPT","code":"41000","lay_name":"Drainage of tongue abscess from inside the mouth","slug":"cpt-41000-drainage-of-tongue-abscess-from-inside-the-mouth"},{"code_type":"CPT","code":"40801","lay_name":"Complicated drainage of abscess or cyst in the mouth","slug":"cpt-40801-complicated-drainage-of-abscess-or-cyst-in-the-mouth"},{"code_type":"CPT","code":"30140","lay_name":"Turbinate reduction from beneath the lining","slug":"cpt-30140-turbinate-reduction-from-beneath-the-lining"}]}