CPT 00731 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Anesthesia • Anesthesia for Procedures on the Upper Abdomen |
| Common Place of Service | • 24 - Ambulatory Surgical Center • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • QS - Monitored anesthesia care service • QZ - CRNA service; without medical direction by a physician • None |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00731 by major payers:
$56.32
$123.56
$55.79
$97.95
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 00731 | ||||||
United | 00731 | $112.41 | 1629050554 - TOMMASINA PAPA-RUGINO | 223376459 | NJ | Neurology Physician (2084N0400X) |
United | 00731 | $61.68 | 1326574518 - MICHAEL JANG | 465285330 | CA | Neurology Physician (2084N0400X) |
United | 00731 | $60.00 | 1790206415 - AAKASH PATEL | 900603487 - (NY) PHYSICIAN AFFILIATE GROUP OF NEW YORK PC | CA | Anesthesiology Physician (207L00000X) |
United | 00731 | $130.00 | 1104141662 - BRYAN MOORE | 202088165 | CA | Neurocritical Care Physician (2084A2900X) |
United | 00731 | $42.75 | 1245674159 - KHOA NGUYEN | 811200310 | TX | Psychiatry Physician (2084P0800X) |
United | 00731 | $45.11 | 1225272941 - HEIDI WOESSNER | 271648289 | GA | Neurology Physician (2084N0400X) |
United | 00731 | $40.59 | 1225272941 - HEIDI WOESSNER | 271648289 | GA | Neurology Physician (2084N0400X) |
United | 00731 | $60.00 | 1225399488 - NIRAJ ARORA | 20701782 | IN | Neurocritical Care Physician (2084A2900X) |
United | 00731 | $40.59 | 1639431059 - OLANREWAJU AGBE-DAVIES | 271648289 | IN | Vascular Neurology Physician (2084V0102X) |
United | 00731 | $45.11 | 1639431059 - OLANREWAJU AGBE-DAVIES | 271648289 | PA | Vascular Neurology Physician (2084V0102X) |
United | 00731 | $60.00 | 1467477901 - CHAD MILLER | 20701782 | OH | Vascular Neurology Physician (2084V0102X) |
United | 00731 | $52.00 | 1376833129 - AZRIEL AVEZBADALOV | 823281146 | IN | Cardiovascular Disease Physician (207RC0000X) |
United | 00731 | $52.00 | 1013977651 - SOPHIA GIGOS-COSTEAS | 135562191 | NY | Pediatric Adolescent Medicine Physician (2080A0000X) |
United | 00731 | $52.00 | 1013977651 - SOPHIA GIGOS-COSTEAS | 463739355 | NY | Pediatric Adolescent Medicine Physician (2080A0000X) |
United | 00731 | $40.59 | 1205911096 - JAMES KIELY | 271648289 | VA | Neurology Physician (2084N0400X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 00731 vs. Other Anesthesia for Procedures on the Upper Abdomen Codes
The CPT 00731 code is part of the Anesthesia services used for Anesthesia for Procedures on the Upper Abdomen. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 00731 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00702-CPT | Low | Anes Upper Anterior Abdominal Wall; Live |
| 00731-CPT | Moderate | Anesthesia For Upper Gastrointestinal Endoscopic Procedures, Endoscope Introduced Proximal To Duodenum; Not Otherwise Specified |
| 00732-CPT | Moderate | Anesthesia For Upper Gastrointestinal Endoscopic Procedures, Endoscope Introduced Proximal To Duodenum; Endoscopic Retrograde Cholangiopancreatography (Ercp) |
| 00750-CPT | Low | Anes Hernia Rep Up Abd; Nos |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00731. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00731 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 00731) and we'll show you how you compare in 15 minutes or less.