# CPT 31540: Laryngoscopy Exc Tum&/stripping Cords/epiglott

Medicare CPT 31540 pays $205.42 in a non-facility setting and $205.42 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $188.72 in Arkansas to $267.22 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/31540-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $205.42 |
| National facility | $205.42 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $267.22 | $267.22 |
| New York | $224.73 | $224.73 |
| District of Columbia | $224.07 | $224.07 |
| Florida | $223.93 | $223.93 |
| Illinois | $221.79 | $221.79 |
| New Jersey | $220.46 | $220.46 |
| Connecticut | $216.16 | $216.16 |
| Washington | $212.81 | $212.81 |
| Massachusetts | $212.61 | $212.61 |
| Maryland | $210.86 | $210.86 |
| California | $210.85 | $210.85 |
| Michigan | $210.15 | $210.15 |
| Rhode Island | $207.58 | $207.58 |
| Georgia | $207.04 | $207.04 |
| West Virginia | $206.98 | $206.98 |
| Pennsylvania | $206.90 | $206.90 |
| Colorado | $206.10 | $206.10 |
| Puerto Rico | $205.69 | $205.69 |
| Virgin Islands | $205.69 | $205.69 |
| Montana | $205.38 | $205.38 |
| New Hampshire | $205.12 | $205.12 |
| New Mexico | $205.01 | $205.01 |
| Hawaii | $204.35 | $204.35 |
| Texas | $203.98 | $203.98 |
| Oregon | $203.90 | $203.90 |
| Delaware | $203.51 | $203.51 |
| Nevada | $202.23 | $202.23 |
| Louisiana | $201.83 | $201.83 |
| Ohio | $201.07 | $201.07 |
| Arizona | $201.02 | $201.02 |
| Missouri | $200.85 | $200.85 |
| Wyoming | $200.38 | $200.38 |
| Utah | $200.33 | $200.33 |
| Virginia | $198.84 | $198.84 |
| South Carolina | $198.58 | $198.58 |
| Kentucky | $198.02 | $198.02 |
| Maine | $195.88 | $195.88 |
| Oklahoma | $195.56 | $195.56 |
| Vermont | $195.33 | $195.33 |
| North Carolina | $194.95 | $194.95 |
| North Dakota | $193.91 | $193.91 |
| Minnesota | $193.28 | $193.28 |
| Mississippi | $193.16 | $193.16 |
| South Dakota | $192.55 | $192.55 |
| Tennessee | $191.73 | $191.73 |
| Indiana | $191.68 | $191.68 |
| Idaho | $191.06 | $191.06 |
| Kansas | $190.84 | $190.84 |
| Alabama | $190.54 | $190.54 |
| Wisconsin | $189.84 | $189.84 |
| Nebraska | $189.38 | $189.38 |
| Iowa | $189.33 | $189.33 |
| Arkansas | $188.72 | $188.72 |

## 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 31540 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