CPT code 31525: Laryngoscopy, diagnostic, except newborn2026 Medicare rate & RVUs in Bartlett, Illinois

CPT 31525: $265.70–$268.97 office ($149.07–$154.84 facility) across 2 localities in Bartlett, IL in 2026 Medicare. Compare each area.

CMS RVU26DEffective Oct 1, 20262 payment localities

Medicare pays $265.70–$268.97 for 31525 in the office in Bartlett, Illinois, from Suburban Chicago, IL to Chicago, IL. Which amount applies depends on the service address.

$265.70–$268.97Office (non-facility)
$149.07–$154.84Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 31525 for the payment locality that covers the ZIP.

On this page 6 sections
  1. Rate in Bartlett, Illinois
  2. By payment locality
  3. City and payment areas
  4. How it’s calculated
  5. Payment rules
  6. Sources

Where 31525 pays more and less in Bartlett, Illinois

Bartlett, Illinois maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.

31525 office and facility rates by payment locality
Payment localityOfficeFacility
Chicago, IL$268.97$154.84
Suburban Chicago, IL$265.70$149.07

How payment areas work in Bartlett

City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.

  • Chicago · Cook County
  • Suburban Chicago · DuPage County, Kane County

City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions

How the 31525 rate is calculated

Each of 31525’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 31525

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.56

2.56 RVUs× 1.000 GPCI

Practice expense4.58

4.58 RVUs× 1.000 GPCI

Malpractice0.38

0.38 RVUs× 1.000 GPCI

Adjusted RVUs

7.5200

Conversion factor

$33.4009

Medicare rate

$251.17

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 31525

The CMS indicators that decide how 31525 is paid alongside other services.

CMS payment indicators · 31525

Laryngoscopy, diagnostic, except newborn

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

31525 without 51 · national office

$251.17

Laryngoscopy, diagnostic, except newborn

31525-51 · Second procedure: 50%

$125.59

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 31525PPRRVU2026_Oct_nonQPP.csv, line 3,583 (RVU26D)

Open CMS sourceHow we calculate rates

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