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 comparisonHealthcare 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.
| 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 | None 50 - Bilateral Procedure LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31573 |
| Medicaid Fee Schedule | View Medicaid rates for 31573 |
National average reimbursement for CPT 31573 by major payers:

$332.83

$360.10

$394.00

$274.70
Choose a payer to see a sample of rates for CPT 31573.
North Austin Surgery Center Lp
Khs Ambulatory Surgery Center LLC
Gurley Surgery Center
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 31573 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31573 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 31573 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 |
|---|---|---|
| 31573-CPT | Moderate | Largsc W Ther Injection, Laryngoscopy Flexible With Therapeutic Injection S Eg Chemodenervation Agent Or Corticosteroid Injected Percutaneous Transoral Or Via Endoscope Channel Unilateral |
| 31574-CPT | High | Vocal Cord Injection, An Exam Of The Vocal Cords Using A Scope (Laryngoscopy). The Procedure Injects Medication Into The Vocal Cords. |
| 31575-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. |
| 31576-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). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31573. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31573 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.
Bring your top codes (like CPT 31573) and we'll show you how you compare in 15 minutes or less.