# CPT 31535: Laryngoscopy, direct, with biopsy

Medicare CPT 31535 pays $161.99 in a non-facility setting and $161.99 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $148.49 in Arkansas to $209.55 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/31535-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $161.99 |
| National facility | $161.99 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $209.55 | $209.55 |
| New York | $177.37 | $177.37 |
| District of Columbia | $177.10 | $177.10 |
| Florida | $176.37 | $176.37 |
| Illinois | $174.56 | $174.56 |
| New Jersey | $174.09 | $174.09 |
| Connecticut | $170.60 | $170.60 |
| Washington | $168.24 | $168.24 |
| Massachusetts | $168.02 | $168.02 |
| California | $166.88 | $166.88 |
| Maryland | $166.37 | $166.37 |
| Michigan | $165.43 | $165.43 |
| Rhode Island | $163.78 | $163.78 |
| Georgia | $163.07 | $163.07 |
| Pennsylvania | $163.05 | $163.05 |
| Colorado | $162.76 | $162.76 |
| West Virginia | $162.70 | $162.70 |
| Puerto Rico | $162.25 | $162.25 |
| Virgin Islands | $162.25 | $162.25 |
| Montana | $161.96 | $161.96 |
| New Hampshire | $161.92 | $161.92 |
| Hawaii | $161.71 | $161.71 |
| New Mexico | $161.36 | $161.36 |
| Oregon | $161.02 | $161.02 |
| Texas | $160.81 | $160.81 |
| Delaware | $160.46 | $160.46 |
| Nevada | $159.53 | $159.53 |
| Louisiana | $158.87 | $158.87 |
| Arizona | $158.46 | $158.46 |
| Ohio | $158.28 | $158.28 |
| Missouri | $158.13 | $158.13 |
| Wyoming | $158.09 | $158.09 |
| Utah | $157.82 | $157.82 |
| Virginia | $156.83 | $156.83 |
| South Carolina | $156.39 | $156.39 |
| Kentucky | $155.82 | $155.82 |
| Maine | $154.42 | $154.42 |
| Vermont | $154.13 | $154.13 |
| Oklahoma | $153.93 | $153.93 |
| North Carolina | $153.61 | $153.61 |
| North Dakota | $153.07 | $153.07 |
| Minnesota | $152.69 | $152.69 |
| South Dakota | $152.01 | $152.01 |
| Mississippi | $151.94 | $151.94 |
| Indiana | $151.05 | $151.05 |
| Tennessee | $151.02 | $151.02 |
| Idaho | $150.55 | $150.55 |
| Kansas | $150.31 | $150.31 |
| Alabama | $149.96 | $149.96 |
| Wisconsin | $149.74 | $149.74 |
| Nebraska | $149.25 | $149.25 |
| Iowa | $149.18 | $149.18 |
| Arkansas | $148.49 | $148.49 |

## Related codes

- 31570: Laryngoscopy with injection into vocal cord(s) — https://www.med-reveal.com/rates/31570-cpt-fee-schedule
- 31575: Laryngoscopy, flexible, diagnostic — https://www.med-reveal.com/rates/31575-cpt-fee-schedule
- 31578: Laryngoscopy with removal of foreign body — https://www.med-reveal.com/rates/31578-cpt-fee-schedule
- 31590: Laryngeal reinnervation — https://www.med-reveal.com/rates/31590-cpt-fee-schedule
- 42410: Excision of parotid tumor or parotid gland, lateral lobe, without nerve dissection — https://www.med-reveal.com/rates/42410-cpt-fee-schedule
- 42420: Excision of parotid gland, total, with dissection of facial nerve — https://www.med-reveal.com/rates/42420-cpt-fee-schedule
- 42440: Excision of submandibular gland — https://www.med-reveal.com/rates/42440-cpt-fee-schedule
- 42800: Biopsy, oropharynx — https://www.med-reveal.com/rates/42800-cpt-fee-schedule

Commercial negotiated rates for 31535 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules