Diagnostic exam of voice box using a flexible endoscope
Medicare pricing data for 16,376 providers across 52 states
Prices vary significantly by location — from $64 in Vermont to $140 in New Jersey. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Diagnostic exam of voice box using a flexible endoscope (HCPCS code 31575) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $117.64, but hospitals typically charge $350.77 — a 3.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $117.64, your out-of-pocket cost would be approximately $23.53. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $88.35 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $140 | $375 | 473 | 20,699 | +19.4% |
| Alaska | $140 | $621 | 51 | 977 | +19.0% |
| New York | $136 | $446 | 1,160 | 50,335 | +16.0% |
| Connecticut | $131 | $446 | 232 | 6,663 | +11.1% |
| Rhode Island | $131 | $286 | 29 | 903 | +11.0% |
| Maryland | $130 | $324 | 305 | 13,460 | +10.9% |
| District of Columbia | $130 | $306 | 58 | 1,492 | +10.6% |
| California | $129 | $380 | 1,418 | 47,762 | +9.9% |
| Delaware | $123 | $293 | 51 | 2,847 | +4.4% |
| Nevada | $122 | $320 | 67 | 2,354 | +3.5% |
| Colorado | $122 | $322 | 322 | 8,258 | +3.3% |
| Puerto Rico | $121 | $143 | 52 | 688 | +3.3% |
| Wyoming | $121 | $457 | 24 | 769 | +2.9% |
| Florida | $120 | $287 | 1,109 | 54,492 | +2.3% |
| Washington | $120 | $324 | 371 | 9,798 | +1.6% |
| Massachusetts | $118 | $432 | 487 | 20,806 | +0.3% |
| Virginia | $117 | $297 | 408 | 15,249 | -0.7% |
| Arizona | $116 | $282 | 236 | 9,568 | -1.4% |
| Texas | $116 | $354 | 1,080 | 30,474 | -1.5% |
| Illinois | $116 | $418 | 628 | 20,268 | -1.6% |
| Hawaii | $115 | $248 | 50 | 1,514 | -2.1% |
| Georgia | $114 | $374 | 552 | 16,777 | -3.1% |
| Oregon | $114 | $369 | 227 | 5,133 | -3.4% |
| Pennsylvania | $113 | $314 | 864 | 30,610 | -4.0% |
| Utah | $112 | $278 | 136 | 2,359 | -4.4% |
| North Carolina | $111 | $322 | 512 | 15,960 | -5.8% |
| South Carolina | $111 | $334 | 319 | 12,544 | -6.1% |
| Indiana | $110 | $332 | 347 | 8,290 | -6.7% |
| Minnesota | $109 | $472 | 344 | 6,649 | -7.8% |
| Michigan | $108 | $288 | 525 | 14,041 | -8.1% |
| Oklahoma | $108 | $290 | 159 | 4,585 | -8.3% |
| Kentucky | $108 | $253 | 228 | 6,510 | -8.3% |
| Mississippi | $108 | $390 | 120 | 5,194 | -8.4% |
| Alabama | $107 | $284 | 254 | 7,709 | -8.9% |
| Missouri | $107 | $321 | 338 | 8,941 | -9.3% |
| Arkansas | $105 | $264 | 122 | 3,343 | -10.6% |
| Montana | $105 | $266 | 73 | 2,115 | -10.6% |
| Tennessee | $104 | $344 | 338 | 11,517 | -11.6% |
| Louisiana | $103 | $332 | 294 | 7,616 | -12.5% |
| Kansas | $102 | $322 | 157 | 4,630 | -13.2% |
| Iowa | $101 | $372 | 173 | 6,011 | -13.9% |
| Ohio | $101 | $289 | 625 | 16,250 | -14.2% |
| Nebraska | $99 | $308 | 169 | 3,646 | -15.8% |
| West Virginia | $97 | $281 | 89 | 2,458 | -17.6% |
| Idaho | $97 | $276 | 81 | 2,109 | -17.7% |
| Wisconsin | $96 | $657 | 335 | 6,249 | -18.2% |
| New Hampshire | $96 | $343 | 81 | 3,143 | -18.6% |
| South Dakota | $95 | $266 | 66 | 1,796 | -19.6% |
| New Mexico | $91 | $263 | 65 | 1,575 | -22.4% |
| Maine | $90 | $217 | 73 | 1,750 | -23.3% |
| North Dakota | $73 | $227 | 47 | 1,092 | -37.9% |
| Vermont | $64 | $167 | 35 | 782 | -45.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber