Exam of the nose and throat using an endoscope
Medicare pricing data for 3,913 providers across 51 states
Prices vary significantly by location — from $33 in Vermont to $139 in District of Columbia. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Exam of the nose and throat using an endoscope (HCPCS code 92511) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $109.81, but hospitals typically charge $337.26 — a 3.1x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $109.81, your out-of-pocket cost would be approximately $21.96. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $82.71 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $139 | $368 | 12 | 92 | +26.2% |
| Alaska | $134 | $483 | 17 | 61 | +22.1% |
| New Jersey | $130 | $385 | 105 | 1,527 | +18.0% |
| New York | $129 | $411 | 286 | 3,857 | +17.5% |
| California | $126 | $349 | 297 | 3,297 | +14.5% |
| Rhode Island | $123 | $260 | 11 | 72 | +11.8% |
| Hawaii | $122 | $257 | 8 | 63 | +11.2% |
| Maryland | $120 | $351 | 71 | 471 | +9.5% |
| Connecticut | $120 | $426 | 59 | 492 | +8.9% |
| Nevada | $117 | $357 | 10 | 80 | +6.5% |
| Puerto Rico | $115 | $122 | 7 | 33 | +5.0% |
| Montana | $114 | $359 | 13 | 29 | +3.8% |
| Massachusetts | $113 | $479 | 177 | 1,605 | +3.1% |
| Georgia | $113 | $365 | 125 | 1,621 | +2.8% |
| Colorado | $111 | $284 | 48 | 374 | +1.4% |
| Idaho | $110 | $322 | 14 | 124 | -0.2% |
| Arizona | $109 | $244 | 91 | 3,180 | -0.9% |
| Florida | $109 | $308 | 275 | 3,517 | -1.0% |
| Illinois | $108 | $313 | 153 | 1,390 | -1.6% |
| North Carolina | $108 | $363 | 128 | 1,124 | -1.7% |
| New Hampshire | $106 | $377 | 23 | 165 | -3.7% |
| Virginia | $104 | $280 | 91 | 393 | -5.4% |
| Oregon | $104 | $364 | 50 | 216 | -5.5% |
| Oklahoma | $104 | $281 | 40 | 234 | -5.7% |
| Texas | $103 | $389 | 242 | 3,119 | -5.8% |
| Washington | $103 | $297 | 83 | 470 | -6.5% |
| Mississippi | $102 | $286 | 21 | 85 | -7.4% |
| Nebraska | $101 | $295 | 17 | 72 | -7.7% |
| South Carolina | $101 | $290 | 85 | 509 | -7.8% |
| Kansas | $101 | $349 | 34 | 218 | -8.0% |
| Minnesota | $100 | $427 | 92 | 284 | -9.0% |
| Michigan | $100 | $251 | 108 | 806 | -9.2% |
| Indiana | $100 | $261 | 85 | 348 | -9.2% |
| Pennsylvania | $98 | $238 | 117 | 816 | -11.2% |
| Kentucky | $97 | $237 | 60 | 310 | -11.5% |
| Missouri | $92 | $261 | 91 | 664 | -16.6% |
| Ohio | $90 | $283 | 181 | 893 | -17.7% |
| Alabama | $90 | $244 | 57 | 358 | -17.8% |
| Arkansas | $90 | $288 | 23 | 116 | -18.4% |
| Louisiana | $88 | $244 | 70 | 408 | -19.4% |
| Iowa | $88 | $345 | 71 | 564 | -20.3% |
| New Mexico | $87 | $285 | 13 | 276 | -21.0% |
| Delaware | $87 | $215 | 8 | 33 | -21.0% |
| Utah | $87 | $311 | 38 | 164 | -21.1% |
| Tennessee | $83 | $342 | 80 | 294 | -24.1% |
| Wisconsin | $79 | $481 | 89 | 287 | -28.2% |
| West Virginia | $74 | $239 | 19 | 36 | -33.0% |
| North Dakota | $71 | $452 | 13 | 61 | -35.5% |
| South Dakota | $61 | $202 | 19 | 60 | -44.2% |
| Maine | $43 | $145 | 19 | 56 | -61.1% |
| Vermont | $33 | $147 | 16 | 69 | -69.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber