Diagnostic exam of voice box using an endoscope
Medicare pricing data for 1,528 providers across 42 states
Prices vary significantly by location — from $104 in Hawaii to $267 in South Carolina. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Diagnostic exam of voice box using an endoscope (HCPCS code 31525) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $170.42, but hospitals typically charge $548.11 — a 3.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $170.42, your out-of-pocket cost would be approximately $34.08. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.2x more than what Medicare allows for this procedure. Medicare actually pays $131.22 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| South Carolina | $267 | $904 | 38 | 104 | +56.4% |
| Puerto Rico | $250 | $267 | 13 | 227 | +46.6% |
| Nevada | $248 | $550 | 1 | 822 | +45.6% |
| Maryland | $236 | $863 | 38 | 62 | +38.3% |
| Washington | $229 | $1,091 | 26 | 103 | +34.1% |
| Mississippi | $220 | $900 | 23 | 233 | +28.9% |
| Utah | $218 | $537 | 16 | 70 | +27.8% |
| Colorado | $195 | $814 | 30 | 83 | +14.3% |
| Arkansas | $193 | $811 | 17 | 43 | +13.4% |
| Arizona | $192 | $593 | 37 | 174 | +12.9% |
| Iowa | $182 | $613 | 12 | 74 | +6.9% |
| New Hampshire | $174 | $1,624 | 13 | 14 | +2.1% |
| Nebraska | $170 | $1,820 | 11 | 28 | -0.2% |
| California | $169 | $519 | 163 | 36,303 | -0.7% |
| Virginia | $165 | $1,142 | 28 | 42 | -3.2% |
| Minnesota | $164 | $976 | 33 | 59 | -3.7% |
| Idaho | $163 | $791 | 6 | 18 | -4.4% |
| Georgia | $162 | $967 | 49 | 104 | -5.2% |
| Illinois | $154 | $1,080 | 45 | 81 | -9.6% |
| Oregon | $152 | $846 | 18 | 34 | -10.7% |
| Louisiana | $150 | $565 | 35 | 67 | -11.9% |
| Indiana | $149 | $918 | 40 | 82 | -12.6% |
| Tennessee | $147 | $726 | 26 | 73 | -13.5% |
| New York | $144 | $1,295 | 59 | 129 | -15.4% |
| Oklahoma | $144 | $721 | 15 | 42 | -15.4% |
| Florida | $143 | $892 | 91 | 231 | -16.1% |
| Missouri | $135 | $951 | 31 | 52 | -21.0% |
| Texas | $131 | $1,272 | 93 | 313 | -23.4% |
| Pennsylvania | $130 | $685 | 85 | 263 | -23.5% |
| Wisconsin | $129 | $1,727 | 21 | 25 | -24.2% |
| West Virginia | $126 | $506 | 8 | 11 | -25.9% |
| Massachusetts | $126 | $757 | 38 | 93 | -26.2% |
| New Jersey | $125 | $1,029 | 17 | 41 | -26.9% |
| North Carolina | $123 | $697 | 38 | 75 | -27.7% |
| Ohio | $122 | $616 | 87 | 238 | -28.1% |
| Michigan | $121 | $610 | 56 | 127 | -29.2% |
| District of Columbia | $120 | $537 | 4 | 14 | -29.5% |
| Alabama | $116 | $878 | 24 | 58 | -32.2% |
| Maine | $110 | $437 | 8 | 12 | -35.2% |
| Kansas | $109 | $552 | 14 | 29 | -35.9% |
| Kentucky | $108 | $638 | 23 | 59 | -36.8% |
| Hawaii | $104 | $484 | 4 | 25 | -39.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber