# CPT 31576: Laryngoscopy Flexible W/biopsy(ies)

Medicare CPT 31576 pays $268.54 in a non-facility setting and $103.88 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $236.36 in Arkansas to $308.27 in Alaska, a 30% spread.

Web page: https://www.med-reveal.com/rates/31576-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $268.54 |
| National facility | $103.88 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $308.27 | $132.90 |
| District of Columbia | $308.16 | $114.18 |
| California | $303.13 | $108.29 |
| New York | $297.51 | $113.81 |
| New Jersey | $297.43 | $112.01 |
| Washington | $296.42 | $108.71 |
| Massachusetts | $293.44 | $108.44 |
| Hawaii | $292.07 | $104.84 |
| Connecticut | $286.87 | $109.53 |
| Colorado | $280.08 | $104.87 |
| Maryland | $278.45 | $106.78 |
| Florida | $277.43 | $112.21 |
| Oregon | $277.25 | $103.77 |
| New Hampshire | $275.59 | $104.17 |
| Rhode Island | $275.32 | $105.22 |
| Puerto Rico | $270.60 | $104.12 |
| Virgin Islands | $270.60 | $104.12 |
| Illinois | $269.97 | $110.86 |
| Montana | $268.53 | $103.86 |
| Minnesota | $268.18 | $98.74 |
| Nevada | $267.29 | $102.46 |
| Wyoming | $266.29 | $101.62 |
| Pennsylvania | $265.63 | $104.34 |
| Delaware | $265.59 | $102.90 |
| Texas | $265.19 | $103.07 |
| North Dakota | $263.38 | $98.72 |
| South Dakota | $262.78 | $98.11 |
| Virginia | $262.62 | $100.75 |
| Vermont | $262.27 | $99.25 |
| Georgia | $261.21 | $104.13 |
| Arizona | $261.14 | $101.58 |
| Michigan | $259.98 | $105.36 |
| Maine | $256.47 | $99.14 |
| Utah | $255.75 | $100.97 |
| Wisconsin | $254.20 | $96.45 |
| New Mexico | $253.82 | $102.82 |
| South Carolina | $252.16 | $100.01 |
| North Carolina | $252.12 | $98.48 |
| Missouri | $252.07 | $100.96 |
| Louisiana | $251.69 | $101.35 |
| Ohio | $251.35 | $101.01 |
| Indiana | $249.60 | $96.95 |
| Idaho | $248.09 | $96.60 |
| Nebraska | $247.86 | $95.88 |
| Tennessee | $246.47 | $96.79 |
| Iowa | $246.44 | $95.77 |
| West Virginia | $246.30 | $103.20 |
| Kentucky | $245.78 | $99.39 |
| Oklahoma | $245.38 | $98.33 |
| Kansas | $245.19 | $96.33 |
| Alabama | $239.97 | $95.89 |
| Mississippi | $238.70 | $96.92 |
| Arkansas | $236.36 | $94.91 |

## 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 31576 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