Our 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. If, for example, time spent with a new patient is longer or more complex than usual for 99203, it is possible that a higher code, 99204, might apply.
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 99203 + 31579.
Scroll to the right to view the rest of the table:
|99204||New Patient Office visit, high complexity||$338.00||Office visit for a new patient, high complexity; may be combined with a procedure below***|
|99203||New patient office visit, moderate complexity||$240.00||Office visit for a new patient, moderate complexity; may be combined with a procedure below***|
|99202||New patient office visit, low complexity||$100.00||Office visit for a new patient, low complexity; may be combined with a procedure below***|
|99213||Established patient office visit, moderate complexity||$150.00||Office visit for an established patient, moderate complexity; may be combined with a procedure below***|
|99204-95||New patient video call, high complexity||$338.00||Video conference call for a new patient, high complexity|
|99203-95||New patient video call, moderate complexity||$240.00||Video conference call for a new patient, moderate complexity|
|99213-95||Established patient video call, low complexity||$150.00||Video conference call for a new patient, low complexity|
|31570||Laryngoscopy with vocal fold(s) injection(s), as with voice gel, steroid, cidofovir, avastin, etc.||$650.00||For, 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.|
|J3490||Voice gel||$585.00||One kind of material commonly used for vocal fold injections (see code 31570 above), in cases of vocal fold paralysis or paresis.|
|31575||Laryngoscopy, flexible diagnostic||$250.00||Uses a flexible fiberoptic or distal-chip endoscope to examine the throat and larynx.|
|31579||Laryngeal videostroboscopy, to allow the clinician to gain a magnified, video-documented view of the larynx including vibratory ability||$450.00||A common BVI procedure that allows clinicians to see the vocal folds vibrate in apparent slow motion. Highly magnified and high-resolution images.|
|31622||Bronchoscopy||$600.00||The subglottis, trachea, and major airways are evaluated with a high-resolution videoendoscope.|
|43191||Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing||$275.00||Uses the transoral esophagoscope that allows clinicians to see the esophagus while an awake patient sits in a chair, rather than in a GI laboratory.|
|43193||Esophagoscopy, rigid, transoral; with biopsy||$400.00||Uses the transoral esophagoscope that allows clinicians to see the esophagus while an awake patient sits in a chair, rather than in a GI laboratory.|
|43197||Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing||$380.00||Uses the transnasal esophagoscope that allows clinicians to see the esophagus while an awake patient sits in a chair, rather than in a GI laboratory.|
|43198||Esophagoscopy, flexible, transnasal; with biopsy||$425.00||Uses the transnasal esophagoscope that allows clinicians to see the esophagus while an awake patient sits in a chair, rather than in a GI laboratory.|
|92507||Speech therapy||$125.00||The speech pathologist’s second and following visits, focused more on treatment than evaluation.|
|92520||Laryngeal function study||$100.00||Performed as a part of the speech pathologist’s initial evaluation and sometimes at the end of treatment. Includes audio recording and acoustic analysis.|
|92521||Evaluation of speech sound production (stuttering, cluttering)||$240.00|
|92522||Evaluation of speech sound production (articulation, phonological process, apraxia, dysarthria)||$200.00|
|92523||Evaluation of speech sound production (articulation, phonological process, apraxia, dysarthria) with evaluation of language comprehension and expression||$400.00|
|92524||Behavioral and qualitative analysis of voice and resonance||$225.00|
|92526||Treatment of swallowing dysfunction||$125.00||A speech pathologist’s second and following visits, focused more on treatment than evaluation.|
|92597||Prosthesis evaluation for voice restoration after laryngectomy||$225.00||A speech pathologist’s evaluation for tracheoesophageal prosthesis in a person who has undergone total laryngectomy. BVI will place patient-procured devices.|
|92610||Evaluation of oral and pharyngeal swallowing function||$200.00||A speech pathologist’s first consultation (evaluation) for a person with a swallowing disorder.|
|92612 & 92613||Flexible fiberoptic endoscopic evaluation of swallow study (aka videoendoscopic swallow study, or VESS)||$485.00||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.|
|64617-50, A4212, J0585||Botox injection into the larynx for spasmodic dysphonia||$645.00||This combined fee includes injection, EMG, Teflon-coated EMG needle, and Botox. This amount is an estimate, as it can vary depending on the number of units of Botox used.|
|31541||Vocal fold microsurgery||$750.00||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.|
|31545||Laryngoscopy, direct, operative, with operating microscope or telescope with submucosal removal of neo-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)||$1,000.00||This 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.|
|31578||Laryngoscopy with removal of lesions||$525.00|
|31588||Vocal fold medialization for vocal fold paralysis||$2,200.00||Performed 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.|
|43030||Crycopharyngeal myotomy (for non-relaxing upper esophageal sphincter, with or without Zenker’s diverticulum)||$1,200.00||Typically done by BVI clinicians endoscopically (through the mouth), using a laser to divide the non-relaxing cricopharyngeus muscle.|
* CPT is a “Current Procedural Terminology” code.
** All fees are estimates and subject to change based on contractual and other adjustments.
*** Typical new patient office visit + videostroboscopy is ~ $690.