# CPT 31536: Laryngoscopy W/biopsy Microscope/telescope

Medicare CPT 31536 pays $179.03 in a non-facility setting and $179.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $164.45 in Arkansas to $232.53 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/31536-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $179.03 |
| National facility | $179.03 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $232.53 | $232.53 |
| New York | $195.84 | $195.84 |
| District of Columbia | $195.50 | $195.50 |
| Florida | $194.68 | $194.68 |
| Illinois | $192.76 | $192.76 |
| New Jersey | $192.27 | $192.27 |
| Connecticut | $188.40 | $188.40 |
| Washington | $185.81 | $185.81 |
| Massachusetts | $185.58 | $185.58 |
| California | $184.31 | $184.31 |
| Maryland | $183.80 | $183.80 |
| Michigan | $182.83 | $182.83 |
| Rhode Island | $181.01 | $181.01 |
| Georgia | $180.25 | $180.25 |
| Pennsylvania | $180.24 | $180.24 |
| West Virginia | $179.91 | $179.91 |
| Colorado | $179.85 | $179.85 |
| Puerto Rico | $179.30 | $179.30 |
| Virgin Islands | $179.30 | $179.30 |
| Montana | $179.00 | $179.00 |
| New Hampshire | $178.91 | $178.91 |
| Hawaii | $178.59 | $178.59 |
| New Mexico | $178.41 | $178.41 |
| Oregon | $177.95 | $177.95 |
| Texas | $177.77 | $177.77 |
| Delaware | $177.39 | $177.39 |
| Nevada | $176.34 | $176.34 |
| Louisiana | $175.71 | $175.71 |
| Arizona | $175.21 | $175.21 |
| Ohio | $175.06 | $175.06 |
| Missouri | $174.89 | $174.89 |
| Wyoming | $174.77 | $174.77 |
| Utah | $174.53 | $174.53 |
| Virginia | $173.42 | $173.42 |
| South Carolina | $172.99 | $172.99 |
| Kentucky | $172.41 | $172.41 |
| Maine | $170.82 | $170.82 |
| Vermont | $170.47 | $170.47 |
| Oklahoma | $170.34 | $170.34 |
| North Carolina | $169.97 | $169.97 |
| North Dakota | $169.31 | $169.31 |
| Minnesota | $168.87 | $168.87 |
| Mississippi | $168.21 | $168.21 |
| South Dakota | $168.16 | $168.16 |
| Indiana | $167.18 | $167.18 |
| Tennessee | $167.17 | $167.17 |
| Idaho | $166.64 | $166.64 |
| Kansas | $166.39 | $166.39 |
| Alabama | $166.04 | $166.04 |
| Wisconsin | $165.73 | $165.73 |
| Nebraska | $165.22 | $165.22 |
| Iowa | $165.16 | $165.16 |
| Arkansas | $164.45 | $164.45 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 31536 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