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 31531 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 Direct Operativ, Laryngoscopy Direct Operative With Foreign Bodyremoval With Operating Microscope Laryngoscopy Direct Operative With Foreign Body Removal
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31531 |
| Medicaid Fee Schedule | View Medicaid rates for 31531 |
National average reimbursement for CPT 31531 by major payers:
$279.41
$284.83
$298.73
$348.84
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 31531.
CPT 31531
5 of 25 sample ratesHigher to lower in this preview
Basalt Orthopedic Surgery Center, LLC, Bosc
Basalt Orthopedic Surgery Center LLC
$4,529.00Published rateSummit Ambulatory Surgical Center, LLC
$1,276.00Published rateAnne Arundel-Sca Surgicenter, LLC, Aamc Surgery Center - Annapolis
Anne Arundelsca Surgicenter LLC
$923.00Published rateBowden Gastro Associates LLC
$522.00Published rateBaltimore Ambulatory Center For Endoscopy
Baltimore Ambulatory Center Fo
$360.00Published 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 31531 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31531 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 31531 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 |
|---|---|---|
| 31530-CPT | Moderate | Remove Object From Voice Box, An Exam Of The Voice Box Using A Scope (Laryngoscope). The Procedure Removes A Foreign Object From The Voice Box. |
| 31531-CPT | Moderate | Laryngoscopy Direct Operativ, Laryngoscopy Direct Operative With Foreign Bodyremoval With Operating Microscope Laryngoscopy Direct Operative With Foreign Body Removal |
| 31535-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). |
| 31541-CPT | Moderate | Remove Tumor From Voice Box, Surgery Aided By A Scope (Laryngoscope) To Remove A Tumor From The Voice Box (Larynx). The Vocal Cords And Cartilage Protecting The Voice Box May Be Removed As Well. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31531. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31531 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 31531) and we'll show you how you compare in 15 minutes or less.