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Voice Box Examination With Biopsy

Washington 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?

$4,365

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $4,365 for this service. Most negotiated rates run $417 to $10,233.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,365 · 10th to 90th $263 to $15,136
$200$500$1K$2K$5K$10K$20Kfacility $4,365

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
$263.03
Median
$6,606.93
Typical High
$17,378.01
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$11,748.98
Typical High
$20,417.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$3,801.89
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$446.68
Typical High
$9,332.54
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$363.08
Typical High
$380.19
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$257.04
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$10,964.78
Typical High
$20,417.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$11,481.54
Typical High
$21,379.62

Where Washington sits

The same service costs 50.1 times more in Indiana than in North Dakota. 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.

Washington· 16th of 50

$4,365

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.