Hur K, et al. - From January 1, 2000, to December 31, 2016, authors analyzed the data to assess the trends in the management of nasal endoscopy among Medicare recipients at a national and state level. They observed an increment of 9.3% average annual rate of nasal endoscopies ie, from 135,494 in 2000 to 559,547 in 2016. They also noted a significant variation in the mean reimbursement rate per nasal endoscopy, from $114.25 in Puerto Rico to $189.53 in New York. A correlation was observed between reimbursement rates, the density of health care providers and increased utilization in a state's Medicare population.