go back

Voice Box Examination With Biopsy

Hawaii 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 October 2026.

How much does Voice Box Examination With Biopsy cost?

$1,493

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $1,493 for this procedure. That total is two separate charges: $234 to the doctor who performs it, and $1,259 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$234$195 to $251
Facility feeThe hospital or surgery center$1,259$1,096 to $2,570

How much rates vary

Facilitymedian $1,259 · 10th to 90th $977 to $3,890Professionalmedian $234 · 10th to 90th $32 to $4,169
$50$100$200$500$1K$2K$5Kfacility $1,259professional $234

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$2,818.38
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$199.53
Typical High
$251.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$1,096.48
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$194.98
Typical High
$239.88
United
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,511.89
Typical High
$2,570.40
United
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$275.42
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$251.19
Typical High
$5,370.32

Where Hawaii sits

The same service costs 11.3 times more in Colorado than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Hawaii· 48th of 51

$1,493

$234 physician + $1,259 facility

CO $6,301MT $557

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.