Bastian Voice Institute

CLICK HERE to see a breakdown of fees for our Retrograde Cricopharyngeus Dysfunction (RCPD) procedure.

Our professional fees are posted here to assist those patients who prefer to pay out of pocket for their medical care, or who have high deductible coverage and have not yet met their deductible. We have included our most common codes for orientation and estimation purposes, and not as a guarantee of charges. Also, please note that these fees are subject to change.

BVI services are divided between evaluation and management (E&M) and procedures. E&M refers to time spent understanding the problem, doing a simple screening examination, and discussing the diagnosis and plan with patient and family. A procedure most often refers to endoscopy such as videostroboscopy (to evaluate voice disorders), videoendoscopic swallowing study, esophagoscopy, or tracheoscopy. Other procedures include Botox injection for spasmodic dysphonia, biopsy of a lesion, injection of voice gel or steroid, and so forth.

Procedure fees are relatively unvarying. E&M fees are a little more variable. Given the nature of our practice, most patients are billed for an E&M code AND a procedure code. For example, a common combination for a new patient with a voice disorder would be 99204 + 31579 ($867.00).

Note: All BVI charges are billed to insurance companies through Bastian Voice Institute’s National Provider Identifier (NPI) 1922122571

Our Procedures & Professional Fees

Evaluation & Management (E&M)

CPT1DescriptionFee2More Info
99204New Patient Office visit, high complexity$395.00Office visit for a new patient, high complexity; may be combined with a procedure below3
99203New patient office visit, moderate complexity$280.00Office visit for a new patient, moderate complexity; may be combined with a procedure below3
99202New patient office visit, low complexity$175.00Office visit for a new patient, low complexity; may be combined with a procedure below3
99213Established patient office visit, moderate complexity$175.00Office visit for an established patient, moderate complexity; may be combined with a procedure below3
99204-95New patient video call, high complexity$395.00Video conference call for a new patient, high complexity
99203-95New patient video call, moderate complexity$280.00Video conference call for a new patient, moderate complexity
99213-95New patient video call, low complexity$175.00Video conference call for a new patient, low complexity
99214-95Return patient video call, low complexity$234.00Video conference call for a new patient, moderate complexity

Procedures

CPTDescriptionFee2More Info
31541Vocal fold microsurgery$875.00 Most often refers to microsurgery of the vocal folds performed under anesthesia in an outpatient operating room. May use tiny instruments and carbon dioxide, thulium, or pulsed-KTP laser.
31545Laryngoscopy, direct, operative, with operating microscope or telescope with submucosal removal of neo-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)$1,166.00This refers to vocal fold microsurgery, under general anesthesia and typically performed as an outpatient. An incision and dissection are required, such as to remove a cyst or sulcus.
31570Laryngoscopy with vocal fold(s) injection(s), as with voice gel, steroid, cidofovir, avastin, etc.$758.00For, respectively: vocal fold paralysis or paresis; granuloma or inflammation; papillomas. Fee does not include the cost of injected material, provided at or near our cost.
31574Injection/Medialization/Augmentation$2,449.00Voice Gel Implant In-office procedure
31575Laryngoscopy, flexible diagnostic$292.00Uses a flexible fiberoptic or distal-chip endoscope to examine the throat and larynx.
31576Videolaryngoscopy and Biopsy$525.00
31578Laryngoscopy with removal of lesions$735.00
315793Laryngeal videostroboscopy, to allow the clinician to gain a magnified, video-documented view of the larynx including vibratory ability$525.00A common BVI procedure that allows clinicians to see the vocal folds vibrate in apparent slow motion. Highly magnified and high-resolution images.
31591Vocal fold medialization for vocal fold paralysis$2,531.00Performed in an operating room almost always under local anesthesia with deep sedation to place a permanent implant into a paralyzed, paretic, or flaccid vocal fold.
31622Bronchoscopy$700.00The subglottis, trachea, and major airways are evaluated with a high-resolution videoendoscope.
43180Crycopharyngeal myotome (for non-relaxing upper esophageal sphincter, with or without Zenker's diverticulum)$1,400.00Typically done by BVI clinicians endoscopically (through the mouth), using a laser to divide the non-relaxing cricopharyngeus muscle.
43191Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing$467.00Uses the transoral esophagoscope that allows clinicians to see the esophagus while an awake patient sits in a chair, rather than in a GI laboratory.
43193Esophagoscopy, rigid, transoral; with biopsy$467.00Uses the transoral esophagoscope that allows clinicians to see the esophagus while an awake patient sits in a chair, rather than in a GI laboratory.
43197Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing$445.00Uses the transnasal esophagoscope that allows clinicians to see the esophagus while an awake patient sits in a chair, rather than in a GI laboratory.
43198Esophagoscopy, flexible, transnasal; with biopsy$496.00Uses the transnasal esophagoscope that allows clinicians to see the esophagus while an awake patient sits in a chair, rather than in a GI laboratory.
64617-50Botox injection into the larynx for spasmodic dysphonia$653.00Injection of Botox via EMG and Teflon-coated needle (billed in conjunction with J0585 per unit of Botox)
92612
+
92613
Flexible fiberoptic endoscopic evaluation of swallow study (aka videoendoscopic swallow study, or VESS)$567.00
+
$100.00
First the patient’s anatomy and neurological abilities are assessed. Then clinicians use blue-stained applesauce and water as well as crackers to assess swallowing function. Depending on circumstance, this study (VESS) can serve in place of the videofluoroscopic swallow study (VFSS). This fee includes the test itself and its interpretation.
J0585Botox$18.00 per unitUsed in conjunction with 64617-50
L8607Voice gel implant material$635.00One kind of material commonly used for vocal fold injections (see code 31570 above), in cases of vocal fold paralysis or paresis.

1 CPT is a “Current Procedural Terminology” code.
2 All fees are estimates and subject to change based on contractual and other adjustments.
3 Typical new patient office visit + videostroboscopy is ~ $920.