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Flexible Scope Exam of the Voice Box With Biopsy

Maryland rates for HCPCS 31576

This procedure examines the voice box using a thin, flexible scope passed through the nose or mouth, and includes taking a small tissue sample from an abnormal area seen during the exam. It is used when a growth, lesion, or persistent voice change needs a tissue diagnosis rather than just a visual look. The scope is removed once the sample has been collected and the area is stable.

Rates data updated July 2026.

How much does Flexible Scope Exam of the Voice Box With Biopsy cost?

$263

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $263 for this service. Most negotiated rates run $141 to $339.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $617 · 10th to 90th $257 to $1,000Professionalmedian $263 · 10th to 90th $115 to $724
$100.0$200.0$500.0$1.0K$2.0Kfacility $617professional $263

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. 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
Global
Typical Low
$257.04
Median
$588.84
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$263.03
Typical High
$831.76
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$257.04
Typical High
$537.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$331.13
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$234.42
Typical High
$467.74
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$371.54
Typical High
$436.52

Where Maryland sits

The same service costs 10.5 times more in Hawaii than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maryland $263 · 40th of 51
HI $1,905RI $182

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.