Rate Benchmarking
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Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 31572 is classified under Surgery, in the Surgical Procedures on the Respiratory System subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 50 - Bilateral Procedure RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $511.70 national non-facility rate (2026) · View Medicare rates for 31572 |
| Medicaid Fee Schedule | $401.58 median of the 8 states in the free preview · View Medicaid rates for 31572 |
National average reimbursement for CPT 31572 by major payers:

$588.26
BCBS / Anthem

$674.99
UnitedHealthcare

$730.26
Aetna

$367.24
Cigna
Choose a payer to see a sample of rates for CPT 31572.
Baylor Surgicare At Granbury LLC, Baylor Scott & White Surgicare-Granbury
Marion Surgery Center, LLC
Marion Surgery Center LLC
Center For Pain Management LLC, Tucson Urologic Surgery Center
Center For Pain Management LLC
Park Meadows Outpatient Surgery, LLC
Park Meadows Outpatient Surgery LLC
Arizona Digestive Center, P.C.
Arizona Digestive Center PC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 31572 vs. Other Surgical Procedures on the Respiratory System Codes
The table lists codes related to 31572. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 31572-CPT | Moderate | Voice Box Surgery, Surgery Aided By A Scope (Laryngoscopy) To Remove A Growth Or Fluid Sac (Cyst) From The Voice Box. |
| 31574-CPT | High | Vocal Cord Injection, An Exam Of The Vocal Cords Using A Scope (Laryngoscopy). The Procedure Injects Medication Into The Vocal Cords. |
| 31578-CPT | Moderate | Voice Box Surgery, Surgery Aided By A Scope (Laryngoscopy) To Remove A Growth Or Fluid Sac (Cyst) From The Voice Box. |
| 31579-CPT | Moderate | Vocal Cord Vibration Test, Exam Of The Voice Box Using A Flexible Scope (Stroboscope). The Procedure Evaluates How Well The Vocal Cords Are Working. The Scope Accents The Vibration Of The Vocal Cords. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31572. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31572 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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