Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 31511 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Laryngoscopy Indirect (Separa, Laryngoscopy Indirect (Separate Procedure) With Removal Offoreign Body Laryngoscopy Indirect (Separate Procedure) With Removal Of
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 11 - Office 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31511 |
| Medicaid Fee Schedule | View Medicaid rates for 31511 |
National average reimbursement for CPT 31511 by major payers:
$264.05
$275.14
$289.30
$330.30
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 31511.
CPT 31511
5 of 25 sample ratesHigher to lower in this preview
Specialty Surgical Center Of North Brunswick, LLC
Specialty Surgical Center Of N
$1,413.00Published rateNorth Suburban Spine Center Lp, North Metro Surgery Center
$906.00Published rateThe Kissimmee Fl Endoscopy Asc LLC, Kissimmee Endoscopy Center
$390.00Published rateHigh Resort Eye Surgery Center LLC
$200.00Published ratePodiatry Associates Ambulatory Surgical Centers LLC
$45.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 31511 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31511 code is part of the Surgery services used for Surgical Procedures on the Respiratory System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 31511 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 31505-CPT | Low | Scope Exam Of Voice Box, Exam Of The Voice Box With A Scope (Laryngoscopy). The Procedure May Include An Exam Of The Airway. |
| 31510-CPT | Moderate | Voice Box Exam With Biopsy, An Exam Of The Voice Box Using A Scope (Laryngoscopy). The Procedure Takes A Sample Of Tissue For Testing (Biopsy). |
| 31511-CPT | Moderate | Laryngoscopy Indirect (Separa, Laryngoscopy Indirect (Separate Procedure) With Removal Offoreign Body Laryngoscopy Indirect (Separate Procedure) With Removal Of |
| 31512-CPT | Moderate | Voice Box Surgery, Surgery Aided By A Scope (Laryngoscopy) To Remove A Growth Or Fluid Sac (Cyst) From The Voice Box. A Graft May Be Used To Reconstruct The Voice Box. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31511. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31511 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 31511) and we'll show you how you compare in 15 minutes or less.