Cost analysis for CPT 31575 — Diagnostic exam of voice box using a flexible endoscope
Average Medicare Payment
$85.00
2023 data
Total Payments (2023)
$45.8M
Services (2023)
511.6K
Price Change (2014–2023)
+6.9%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $79.49 | $49.0M | 597.6K | — |
| 2015 | $80.02 | $49.9M | 601.9K | +0.7% |
| 2016 | $78.62 | $50.1M | 614.4K | -1.7% |
| 2017 | $75.56 | $47.9M | 607.7K | -3.9% |
| 2018 | $74.97 | $48.1M | 613.5K | -0.8% |
| 2019 | $78.27 | $51.4M | 626.0K | +4.4% |
| 2020 | $82.10 | $38.7M | 450.1K | +4.9% |
| 2021 | $86.52 | $47.2M | 516.4K | +5.4% |
| 2022 | $85.97 | $45.9M | 506.9K | -0.6% |
| 2023 | $85.00 | $45.8M | 511.6K | -1.1% |
The most expensive state pays 2.4x more than the cheapest for this procedure. AK averages $107.42 vs VT at $45.19.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $107.42 | $95.2K | 886 | 23 |
| NJ | $107.41 | $2.1M | 19.9K | 238 |
| NY | $104.72 | $5.1M | 48.3K | 578 |
| GU | $102.70 | $11.9K | 116 | 1 |
| CT | $101.01 | $630.8K | 6.2K | 105 |
| MD | $100.16 | $1.3M | 12.9K | 154 |
| CA | $99.44 | $4.5M | 45.1K | 612 |
| DC | $99.17 | $133.6K | 1.3K | 21 |
| RI | $98.35 | $84.3K | 857 | 17 |
| DE | $94.11 | $257.9K | 2.7K | 24 |
| CO | $93.35 | $724.1K | 7.8K | 144 |
| VI | $92.26 | $24.4K | 264 | 3 |
| NV | $92.25 | $207.4K | 2.2K | 34 |
| FL | $91.82 | $4.8M | 52.6K | 565 |
| WY | $91.28 | $66.0K | 723 | 15 |
| WA | $89.53 | $816.3K | 9.1K | 176 |
| TX | $88.72 | $2.5M | 28.4K | 548 |
| MA | $88.65 | $1.8M | 20.0K | 241 |
| VA | $88.57 | $1.3M | 14.6K | 210 |
| IL | $88.10 | $1.7M | 19.1K | 284 |
| HI | $87.81 | $124.9K | 1.4K | 20 |
| AZ | $87.66 | $801.9K | 9.1K | 122 |
| PR | $86.66 | $49.0K | 566 | 19 |
| PA | $86.36 | $2.5M | 28.9K | 377 |
| OR | $86.05 | $408.5K | 4.7K | 106 |
| GA | $85.60 | $1.3M | 15.8K | 275 |
| NC | $84.33 | $1.3M | 15.1K | 256 |
| SC | $84.17 | $1.0M | 12.0K | 161 |
| IN | $83.78 | $634.7K | 7.6K | 152 |
| UT | $83.47 | $173.4K | 2.1K | 59 |
| MN | $82.90 | $501.8K | 6.1K | 149 |
| MI | $82.81 | $1.1M | 13.0K | 237 |
| AL | $80.89 | $589.3K | 7.3K | 124 |
| KY | $80.83 | $496.9K | 6.1K | 109 |
| MO | $80.77 | $675.3K | 8.4K | 160 |
| MS | $80.08 | $398.1K | 5.0K | 57 |
| OK | $79.59 | $345.3K | 4.3K | 82 |
| TN | $79.01 | $863.2K | 10.9K | 180 |
| AR | $78.68 | $249.5K | 3.2K | 58 |
| LA | $77.93 | $550.8K | 7.1K | 151 |
| MT | $77.66 | $155.5K | 2.0K | 37 |
| KS | $77.20 | $337.8K | 4.4K | 70 |
| OH | $76.22 | $1.1M | 14.9K | 270 |
| IA | $75.76 | $436.2K | 5.8K | 93 |
| NE | $74.86 | $252.3K | 3.4K | 74 |
| ID | $71.92 | $138.9K | 1.9K | 37 |
| WV | $71.85 | $164.4K | 2.3K | 44 |
| NH | $71.68 | $218.3K | 3.0K | 46 |
| WI | $71.38 | $387.8K | 5.4K | 132 |
| ME | $69.60 | $113.5K | 1.6K | 35 |
| SD | $69.56 | $117.3K | 1.7K | 38 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Raffi-Jean Mesrobian | Otolaryngology | CA | $110.2K | 974 | $113.14 |
| Thomas Lipin | Otolaryngology | FL | $104.3K | 1.1K | $99.20 |
| Mukesh Prasad | Otolaryngology | NY | $87.4K | 737 | $118.52 |
| Stuart Sabol | Otolaryngology | FL | $85.6K | 856 | $100.05 |
| Michael Jungkeit | Otolaryngology | WA | $82.5K | 853 | $96.68 |
| Stefan Kieserman | Otolaryngology | NY | $79.2K | 657 | $120.54 |
| Steven Lee | Otolaryngology | CA | $78.2K | 721 | $108.49 |
| Dev Kamdar | Otolaryngology | MI | $67.8K | 565 | $120.08 |
| Leela Lavasani | Otolaryngology | FL | $62.9K | 616 | $102.17 |
| Roberto Castellon | Otolaryngology | OH | $62.4K | 707 | $88.29 |
| Gennady Ukrainsky | Otolaryngology | NY | $59.7K | 514 | $116.11 |
| Daniel Branovan | Otolaryngology | NY | $58.5K | 506 | $115.65 |
| Luis Marmol | Otolaryngology | FL | $56.2K | 578 | $97.18 |
| Christopher Walz | Otolaryngology | CA | $55.5K | 767 | $72.31 |
| Anthony Tucker | Otolaryngology | FL | $53.9K | 553 | $97.51 |
| Larry Feiner | Otolaryngology | PA | $51.2K | 494 | $103.57 |
| Michael Aronsohn | Otolaryngology | FL | $51.1K | 497 | $102.79 |
| Ralph Bassett | Otolaryngology | AZ | $49.0K | 508 | $96.45 |
| Salvatore Caruana | Otolaryngology | NY | $48.2K | 408 | $118.08 |
| Saul Modlin | Otolaryngology | NY | $48.1K | 485 | $99.23 |
The data suggests significant pricing inconsistencies for CPT 31575. With a 2.4x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.