CPT code 31575: Laryngoscopy, flexible, diagnostic2026 Medicare rate & RVUs in Chico, CA
Report this service for a flexible-scope examination of the larynx to evaluate symptoms such as hoarseness, voice change, or swallowing difficulty.
In Chico, CA, Medicare pays $134.61 for 31575 in the office and $62.13 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 31575 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 31575 covers
An otolaryngologist commonly passes a flexible scope through the nose to inspect the larynx and assess structures such as the vocal folds and their movement. In an office or facility setting, the examination may help evaluate hoarseness, voice change, throat symptoms, or swallowing complaints. This code represents diagnostic visualization, not an examination that includes biopsy, lesion removal, or injection treatment.
Document the reason for the examination, the scope examination performed, structures and findings observed, and relevant vocal fold movement. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Do not use modifier 50; CMS identifies bilateral adjustment as inappropriate for this service. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Chico, CA compares for 31575
Across 109 of 109 payment localities, the office rate for 31575 runs from $112.15 in Arkansas to $169.37 in San Benito County, CA. Chico, CA pays $134.61. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Chico, CA · this page$134.61
- Bakersfield, CA · California$134.99+$0.38
- El Centro, CA · California$134.64+$0.03
- Fresno, CA · California$134.61
- Hanford, CA · California$134.61
- Los Angeles, CA · California$143.93+$9.32
- Madera, CA · California$134.61
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | $134.61 | $62.13 |
| Modesto, CACalifornia | $134.61 | $62.13 |
| Napa, CACalifornia | $156.37 | $69.21 |
| Oxnard, CACalifornia | $143.26 | $65.09 |
| Redding, CACalifornia | $134.61 | $62.13 |
| Rest of CaliforniaCalifornia | $134.61 | $62.13 |
| Riverside, CACalifornia | $136.02 | $63.54 |
| Sacramento, CACalifornia | $141.38 | $64.46 |
| Salinas, CACalifornia | $140.85 | $64.20 |
| San Diego, CACalifornia | $144.26 | $65.16 |
| Marin County, CACalifornia | $165.62 | $72.38 |
| San Francisco, CACalifornia | $165.48 | $72.23 |
| San Benito County, CACalifornia | $169.37 | $74.00 |
| Santa Clara County, CACalifornia | $168.77 | $73.40 |
| San Luis Obispo, CACalifornia | $138.58 | $63.25 |
| Santa Cruz, CACalifornia | $145.71 | $65.36 |
| Santa Maria, CACalifornia | $141.41 | $64.29 |
| Santa Rosa, CACalifornia | $147.18 | $65.97 |
| Stockton, CACalifornia | $134.61 | $62.13 |
| Vallejo, CACalifornia | $156.16 | $69.00 |
| Visalia, CACalifornia | $134.61 | $62.13 |
| Yuba City, CACalifornia | $134.61 | $62.13 |
| Washington, DC areaDistrict of Columbia | $145.82 | $67.91 |
| Miami, FLFlorida | $137.68 | $68.83 |
| Chicago, ILIllinois | $133.56 | $67.09 |
| Manhattan, NYNew York | $146.70 | $69.86 |
| AlaskaAlaska | $146.66 | $76.23 |
| AlabamaAlabama | $113.85 | $55.98 |
| ArkansasArkansas | $112.15 | $55.34 |
| ArizonaArizona | $123.77 | $59.69 |
| ColoradoColorado | $132.58 | $62.21 |
| ConnecticutConnecticut | $135.88 | $64.66 |
| DelawareDelaware | $125.87 | $60.53 |
| Fort Lauderdale, FLFlorida | $131.96 | $64.97 |
| Rest of FloridaFlorida | $125.39 | $62.16 |
| Atlanta, GAGeorgia | $129.70 | $62.51 |
| Rest of GeorgiaGeorgia | $118.13 | $59.14 |
| Hawaii, Guam, HIHawaii | $138.06 | $62.86 |
| IowaIowa | $116.80 | $56.29 |
| IdahoIdaho | $117.59 | $56.75 |
| East St. Louis, ILIllinois | $124.29 | $63.44 |
| Rest of IllinoisIllinois | $121.68 | $61.30 |
| Suburban Chicago, ILIllinois | $133.31 | $65.39 |
| IndianaIndiana | $118.30 | $56.99 |
| KansasKansas | $116.25 | $56.47 |
| KentuckyKentucky | $116.66 | $57.86 |
| New Orleans, LALouisiana | $122.41 | $60.18 |
| Rest of LouisianaLouisiana | $116.47 | $57.95 |
| Metropolitan Boston, MAMassachusetts | $145.92 | $66.96 |
| Rest of MassachusettsMassachusetts | $131.75 | $62.11 |
| Baltimore area, MDMaryland | $135.51 | $64.55 |
| Rest of MarylandMaryland | $128.31 | $61.39 |
| Rest of MaineMaine | $118.24 | $57.40 |
| Southern Maine, MEMaine | $124.83 | $59.29 |
| Detroit, MIMichigan | $127.01 | $63.19 |
| Rest of MichiganMichigan | $119.80 | $59.42 |
| MinnesotaMinnesota | $126.87 | $58.82 |
| Metropolitan Kansas City, MOMissouri | $121.53 | $59.43 |
| Metropolitan St. Louis, MOMissouri | $122.84 | $59.88 |
| Rest of MissouriMissouri | $114.42 | $57.42 |
| MississippiMississippi | $113.31 | $56.37 |
| MontanaMontana | $127.25 | $61.11 |
| North CarolinaNorth Carolina | $119.51 | $57.81 |
| North DakotaNorth Dakota | $124.68 | $58.54 |
| NebraskaNebraska | $117.46 | $56.42 |
| New HampshireNew Hampshire | $130.49 | $61.65 |
| Northern New JerseyNew Jersey | $144.24 | $67.52 |
| Rest of New JerseyNew Jersey | $137.39 | $65.17 |
| New MexicoNew Mexico | $120.48 | $59.83 |
| NevadaNevada | $126.62 | $60.42 |
| NYC suburbs and Long Island, NYNew York | $150.37 | $71.74 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $138.31 | $65.89 |
| Queens, NYNew York | $147.92 | $69.75 |
| Rest of New YorkNew York | $121.36 | $58.53 |
| OhioOhio | $119.27 | $58.89 |
| OklahomaOklahoma | $116.43 | $57.37 |
| Portland, OROregon | $136.87 | $63.40 |
| Rest of OregonOregon | $125.60 | $59.73 |
| Metropolitan Philadelphia, PAPennsylvania | $132.43 | $63.58 |
| Rest of PennsylvaniaPennsylvania | $119.46 | $58.75 |
| Puerto RicoPuerto Rico | $128.21 | $61.35 |
| Rhode IslandRhode Island | $130.41 | $62.10 |
| South CarolinaSouth Carolina | $119.60 | $58.49 |
| South DakotaSouth Dakota | $124.37 | $58.24 |
| TennesseeTennessee | $116.86 | $56.74 |
| Austin, TXTexas | $132.17 | $62.20 |
| Beaumont, TXTexas | $118.65 | $58.47 |
| Brazoria, TXTexas | $125.72 | $60.18 |
| Dallas, TXTexas | $126.55 | $60.68 |
| Fort Worth, TXTexas | $125.68 | $60.48 |
| Galveston, TXTexas | $126.11 | $60.44 |
| Houston, TXTexas | $128.49 | $62.82 |
| Rest of TexasTexas | $122.13 | $59.37 |
| UtahUtah | $121.28 | $59.12 |
| VirginiaVirginia | $124.41 | $59.40 |
| Virgin Islands, VIUnited States Virgin Islands | $128.21 | $61.35 |
| VermontVermont | $124.19 | $58.72 |
| Rest of WashingtonWashington | $131.51 | $61.87 |
| King County, WAWashington | $148.93 | $67.78 |
| WisconsinWisconsin | $120.38 | $57.02 |
| West VirginiaWest Virginia | $117.05 | $59.58 |
| WyomingWyoming | $126.13 | $59.99 |
31575 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$112.15
$151.99
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $146.66 | 1 |
| AL | $113.85 | 1 |
| AR | $112.15 | 1 |
| AZ | $123.77 | 1 |
| CA | $134.61–$169.37 | 29 |
| CO | $132.58 | 1 |
| CT | $135.88 | 1 |
| DC | $145.82 | 1 |
| DE | $125.87 | 1 |
| FL | $125.39–$137.68 | 3 |
| GA | $118.13–$129.70 | 2 |
| GU | $138.06 | 1 |
| HI | $138.06 | 1 |
| IA | $116.80 | 1 |
| ID | $117.59 | 1 |
| IL | $121.68–$133.56 | 4 |
| IN | $118.30 | 1 |
| KS | $116.25 | 1 |
| KY | $116.66 | 1 |
| LA | $116.47–$122.41 | 2 |
| MA | $131.75–$145.92 | 2 |
| MD | $128.31–$145.82 | 3 |
| ME | $118.24–$124.83 | 2 |
| MI | $119.80–$127.01 | 2 |
| MN | $126.87 | 1 |
| MO | $114.42–$122.84 | 3 |
| MS | $113.31 | 1 |
| MT | $127.25 | 1 |
| NC | $119.51 | 1 |
| ND | $124.68 | 1 |
| NE | $117.46 | 1 |
| NH | $130.49 | 1 |
| NJ | $137.39–$144.24 | 2 |
| NM | $120.48 | 1 |
| NV | $126.62 | 1 |
| NY | $121.36–$150.37 | 5 |
| OH | $119.27 | 1 |
| OK | $116.43 | 1 |
| OR | $125.60–$136.87 | 2 |
| PA | $119.46–$132.43 | 2 |
| PR | $128.21 | 1 |
| RI | $130.41 | 1 |
| SC | $119.60 | 1 |
| SD | $124.37 | 1 |
| TN | $116.86 | 1 |
| TX | $118.65–$132.17 | 8 |
| UT | $121.28 | 1 |
| VA | $124.41–$145.82 | 2 |
| VI | $128.21 | 1 |
| VT | $124.19 | 1 |
| WA | $131.51–$148.93 | 2 |
| WI | $120.38 | 1 |
| WV | $117.05 | 1 |
| WY | $126.13 | 1 |
How the 31575 rate is calculated
Each of 31575’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 · 31575
RVUs × geographic indexes × conversion factor
Work0.92
0.92 RVUs× 1.000 GPCI
Practice expense2.76
2.76 RVUs× 1.000 GPCI
Malpractice0.13
0.13 RVUs× 1.000 GPCI
Adjusted RVUs
3.8100
Conversion factor
$33.4009
Medicare rate
$127.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Chico, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,608
- Code
- 31575
- Physician work
- 0.92
- Practice expense
- 2.76
- Malpractice
- 0.13
GPCI2026.csv
9
- Locality
- Chico, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.92 | × 1.017 | 0.9356 |
| Practice expense | 2.76 | × 1.096 | 3.0250 |
| Malpractice | 0.13 | × 0.536 | 0.0697 |
| Total RVUs | 4.0303 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Chico, CA$134.61
Office: (0.92 × 1.017 + 2.76 × 1.096 + 0.13 × 0.536) × $33.4009 = $134.61
Facility: (0.92 × 1.017 + 0.78 × 1.096 + 0.13 × 0.536) × $33.4009 = $62.13
Payment rules and modifiers for 31575
The CMS indicators that decide how 31575 is paid alongside other services.
CMS payment indicators · 31575
Laryngoscopy, flexible, diagnostic
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
31575 without 51 · national office
$127.26
Laryngoscopy, flexible, diagnostic
31575-51 · Second procedure: 50%
$63.63
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%).
How 31575 has changed in Chico, CA
31575 · Office / nonfacility
$134.61
Effective 2026-10-01
The base rate is $4.19 higher than on 2025-10-01, moving from $130.42 to $134.61 (3.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$130.42changed to$134.61
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.94 changed to 0.92
- Practice expense RVU 2.74 changed to 2.76
- Malpractice RVU 0.15 changed to 0.13
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$136.21changed to$130.42
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.80 changed to 2.74
- Malpractice RVU 0.14 changed to 0.15
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$133.99changed to$136.21
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$138.38changed to$133.99
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.82 changed to 2.80
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.579 changed to 0.560
January 1, 2023
RVU23A
$138.71changed to$138.38
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.79 changed to 2.82
- Malpractice RVU 0.12 changed to 0.14
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.597 changed to 0.579
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$136.36changed to$138.71
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.69 changed to 2.79
- Malpractice RVU 0.13 changed to 0.12
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$131.09changed to$136.36
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.43 changed to 2.69
- Malpractice RVU 0.12 changed to 0.13
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$123.89changed to$131.09
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.24 changed to 2.43
- Malpractice RVU 0.13 changed to 0.12
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$119.50changed to$123.89
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.13 changed to 2.24
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$121.03changed to$119.50
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.16 changed to 2.13
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.562
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$121.03
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $134.61 | $62.13 | RVU26D |
| 2026-07-01 | $134.61 | $62.13 | RVU26C |
| 2026-04-01 | $134.61 | $62.13 | RVU26B |
| 2026-01-01 | $134.61 | $62.13 | RVU26A |
| 2025-10-01 | $130.42 | $68.90 | RVU25D |
| 2025-07-01 | $130.42 | $68.90 | RVU25C |
| 2025-04-01 | $130.42 | $68.90 | RVU25B |
| 2025-01-01 | $130.42 | $68.90 | RVU25A |
| 2024-10-01 | $136.21 | $69.99 | RVU24D |
| 2024-07-01 | $136.21 | $69.99 | RVU24C |
| 2024-04-01 | $136.21 | $69.99 | RVU24B |
| 2024-03-09 | $136.21 | $69.99 | RVU24AR |
| 2024-01-01 | $133.99 | $68.85 | RVU24A |
| 2023-10-01 | $138.38 | $70.01 | RVU23D |
| 2023-07-01 | $138.38 | $70.01 | RVU23C |
| 2023-04-01 | $138.38 | $70.01 | RVU23B |
| 2023-01-01 | $138.38 | $70.01 | RVU23A |
| 2022-10-01 | $138.71 | $69.43 | RVU22D |
| 2022-07-01 | $138.71 | $69.43 | RVU22C |
| 2022-04-01 | $138.71 | $69.43 | RVU22B |
| 2022-01-01 | $138.71 | $69.43 | RVU22A |
| 2021-10-01 | $136.36 | $68.72 | RVU21D |
| 2021-07-01 | $136.36 | $68.72 | RVU21C |
| 2021-04-01 | $136.36 | $68.72 | RVU21B |
| 2021-01-01 | $136.36 | $68.72 | RVU21A |
| 2020-10-01 | $131.09 | $69.69 | RVU20D |
| 2020-07-01 | $131.09 | $69.69 | RVU20C |
| 2020-04-01 | $131.09 | $69.69 | RVU20B |
| 2020-01-01 | $131.09 | $69.69 | RVU20A |
| 2019-10-01 | $123.89 | $69.70 | RVU19D |
| 2019-07-01 | $123.89 | $69.70 | RVU19C |
| 2019-04-01 | $123.89 | $69.70 | RVU19B |
| 2019-01-01 | $123.89 | $69.70 | RVU19A |
| 2018-10-01 | $119.50 | $69.62 | RVU18D |
| 2018-07-01 | $119.50 | $69.62 | RVU18C |
| 2018-04-01 | $119.50 | $69.62 | RVU18B |
| 2018-01-01 | $119.50 | $69.62 | RVU18AR1 |
| 2017-10-01 | $121.03 | $71.08 | RVU17D |
| 2017-07-01 | $121.03 | $71.08 | RVU17C |
| 2017-04-01 | $121.03 | $71.08 | RVU17B |
| 2017-01-01 | $121.03 | $71.08 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Chico, CA rate applies
Chico, CA is a Medicare payment area, not a city. Our Census mapping connects it to 30 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Chico
- Bangor
- Berry Creek
- Biggs
- Butte Creek Canyon
- Butte Meadows
- Butte Valley
- Cherokee
31575 billing questions
When should 31575 be used instead of 31576?
Use 31575 for flexible-scope diagnostic visualization without biopsy. When the examination includes a biopsy, 31576 describes the biopsy service.
Can 31575 be reported when a lesion is removed?
When the scope examination includes lesion removal, use the code describing that treatment, such as 31578, rather than reporting a diagnostic-only service for the same examination.
What documentation supports 31575?
Record the indication, flexible-scope examination, structures visualized, findings, and relevant vocal fold movement.
Should modifier 50 be appended for both vocal folds?
No. CMS identifies bilateral adjustment as inappropriate for this service; do not append modifier 50.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to a 50% reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted for 31575. Co-surgeons and team surgery are not permitted.
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
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