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Voice Box Examination With Biopsy

California rates for HCPCS 31535

Passes a rigid viewing tube through the mouth while the patient is asleep so the surgeon can see the voice box directly and take a tissue sample for the laboratory. It is used to work out the cause of hoarseness, a growth, or a suspicious area on the vocal cords. This version is done without a microscope or telescope attached for magnified viewing.

Rates data updated July 2026.

How much does Voice Box Examination With Biopsy cost?

$5,888

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $5,888 for this service. Most negotiated rates run $3,890 to $8,710.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,888 · 10th to 90th $2,455 to $14,125Professionalmedian $209 · 10th to 90th $162 to $398
$100.0$1.0K$10.0Kfacility $5,888professional $209

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$6,606.93
Typical High
$19,498.45
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,888.44
Typical High
$13,489.63
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$4,570.88
Typical High
$9,772.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$2,041.74
Typical High
$2,398.83
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$223.87
Typical High
$338.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$199.53
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$28,840.32
Typical High
$28,840.32
Providence
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$257.04
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$7,585.78
Typical High
$16,595.87

Where California sits

The same service costs 50.1 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $5,888 · 8th of 50
IN $9,772ND $195

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.