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See a sample rate comparisonCPT 31526 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.
Dx Laryngoscopy W Oper Scope, Laryngoscopy Direct With Or Without Tracheoscopy Diagnostic With Operating Microscope Or Telescope
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31526 |
| Medicaid Fee Schedule | View Medicaid rates for 31526 |
National average reimbursement for CPT 31526 by major payers:
$210.29
$210.10
$234.00
$259.18
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CPT 31526
5 of 25 sample ratesHigher to lower in this preview
Baylor Surgicare At Blue Star, LLC
Baylor Surgicare At Blue Star LLC
$1,955.00Published rateSurgical Specialty Center Of Mid Atlantic, LLC
Surgical Specialty Center Of Mid-Atlantic, LLC
$1,258.00Published rateDesert Vista Surgical Center LLC
$947.00Published rateWeir Asc, LLC, Southwest Eye Surgery Center
Weir Asc LLC
$509.00Published rateWilliam Salinas
Deaconess Hospital Inc
$126.66Published rate
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See a sample payer proposalCPT 31526 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31526 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 31526 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 |
|---|---|---|
| 31520-CPT | Moderate | Laryngoscopy Direct W//W/O Tracheoscopy; Diagnos Newborn, Laryngoscopy Direct With Or Without Tracheoscopy; Diagnostic Newborn |
| 31525-CPT | Moderate | Scope Exam Of Voice Box, Exam Of The Voice Box With A Scope (Laryngoscopy). The Procedure May Include An Exam Of The Airway. |
| 31526-CPT | Moderate | Dx Laryngoscopy W Oper Scope, Laryngoscopy Direct With Or Without Tracheoscopy Diagnostic With Operating Microscope Or Telescope |
| 31527-CPT | Moderate | Insertion Of Voice Box Device, Exam Of The Voice Box With A Scope (Laryngoscopy). The Procedure Inserts A Temporary Device To Close An Opening In The Voice Box (Larynx). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31526. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31526 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.
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