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See a sample rate comparisonCPT 31575 Fee Schedule
Medicare rates as of October 2026
CPT 31575 is classified under Surgery, in the Surgical Procedures on the Respiratory System subgroup.
Scope Exam Of Voice Box, Exam Of The Voice Box With A Scope (Laryngoscopy). The Procedure May Include An Exam Of The Airway.
| 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 | 59 - Distinct Procedural Service AG - Primary physician |
| Complexity Level | Low |
| Medicare Fee Schedule | $127.26 national non-facility rate (2026) · View Medicare rates for 31575 |
| Medicaid Fee Schedule | $99.555 median of the 8 states in the free preview · View Medicaid rates for 31575 |
National average reimbursement for CPT 31575 by major payers:
$155.53
BCBS / Anthem
$155.90
UnitedHealthcare
$178.42
Aetna
$125.60
Cigna
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CPT 31575
5 of 25 sample ratesHigher to lower in this preview
Premal Bhavsar
New York University
$726.53Published rateAbdolmajid Eshghi
Westchester Medical Center Advanced Physician Services, P.C
$260.26Published rateRachel Niec
$212.37Published ratePage Karsteter
$126.44Published rateJudy Coleman-Weber
$94.77Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 31575 vs. Other Surgical Procedures on the Respiratory System Codes
The table lists codes related to 31575. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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). |
| 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 31575. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31575 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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Frequently Asked Questions
CPT 31575 reports a diagnostic flexible laryngoscopy, an exam of the larynx (voice box) with a flexible scope, usually passed through the nose. Laryngoscopy with biopsy or other procedures has separate codes.
Most flexible laryngoscopies are done in an ENT office, so the Medicare non-facility rate is the usual benchmark. CPT 31575 has a 0-day global period.
Medicare pays CPT 31575 under the Physician Fee Schedule. The non-facility rate applies when the service is done in an office and covers the practice's staff, supplies and equipment; the lower facility rate applies in a hospital or surgery center, which bills its own facility fee. Both are adjusted for the local cost of practice. Commercial payers negotiate their own rates, often as a percentage of Medicare, so the same code can pay very differently from one contract to the next.
This page lists the rates commercial payers have published for CPT 31575 in their Transparency in Coverage files, so you can compare payers and see where a contract falls. For government benchmarks, PayerPrice also has the Medicare fee schedule lookup and Medicaid fee schedules by state.