# CPT 31578: Laryngoscopy with removal of foreign body

Medicare CPT 31578 pays $304.28 in a non-facility setting and $129.26 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $268.40 in Arkansas to $352.31 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/31578-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $304.28 |
| National facility | $129.26 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $352.31 | $165.92 |
| District of Columbia | $347.85 | $141.67 |
| California | $340.67 | $133.57 |
| New York | $336.99 | $141.74 |
| New Jersey | $336.20 | $139.13 |
| Washington | $334.07 | $134.55 |
| Massachusetts | $330.98 | $134.34 |
| Hawaii | $328.41 | $129.42 |
| Connecticut | $324.80 | $136.30 |
| Florida | $316.37 | $140.77 |
| Colorado | $316.24 | $130.02 |
| Maryland | $315.29 | $132.84 |
| Oregon | $312.99 | $128.61 |
| New Hampshire | $311.52 | $129.32 |
| Rhode Island | $311.52 | $130.72 |
| Illinois | $308.32 | $139.21 |
| Puerto Rico | $306.45 | $129.50 |
| Virgin Islands | $306.45 | $129.50 |
| Montana | $304.26 | $129.24 |
| Nevada | $302.49 | $127.29 |
| Minnesota | $302.00 | $121.90 |
| Pennsylvania | $301.46 | $130.03 |
| Wyoming | $301.16 | $126.14 |
| Delaware | $300.91 | $127.99 |
| Texas | $300.56 | $128.25 |
| North Dakota | $297.14 | $122.12 |
| Virginia | $297.12 | $125.08 |
| Georgia | $296.97 | $130.00 |
| South Dakota | $296.30 | $121.28 |
| Vermont | $296.21 | $122.94 |
| Michigan | $296.18 | $131.84 |
| Arizona | $295.94 | $126.35 |
| Maine | $290.31 | $123.08 |
| Utah | $290.27 | $125.75 |
| New Mexico | $289.01 | $128.52 |
| Wisconsin | $287.01 | $119.34 |
| Missouri | $286.55 | $125.94 |
| Louisiana | $286.30 | $126.52 |
| South Carolina | $286.28 | $124.56 |
| Ohio | $285.84 | $126.04 |
| North Carolina | $285.66 | $122.37 |
| Indiana | $282.55 | $120.30 |
| West Virginia | $281.55 | $129.46 |
| Idaho | $280.90 | $119.88 |
| Nebraska | $280.39 | $118.85 |
| Kentucky | $279.61 | $124.01 |
| Tennessee | $279.32 | $120.23 |
| Iowa | $278.92 | $118.77 |
| Oklahoma | $278.80 | $122.51 |
| Kansas | $277.86 | $119.64 |
| Alabama | $272.43 | $119.28 |
| Mississippi | $271.52 | $120.83 |
| Arkansas | $268.40 | $118.06 |

## Related codes

- 31535: Laryngoscopy, direct, with biopsy — https://www.med-reveal.com/rates/31535-cpt-fee-schedule
- 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
- 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 31578 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