Rate Benchmarking
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Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 31500 is classified under Surgery, in the Surgical Procedures on the Respiratory System subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | GC - Service performed by resident under supervision 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $132.94 national non-facility rate (2026) · View Medicare rates for 31500 |
| Medicaid Fee Schedule | $104.80 median of the 8 states in the free preview · View Medicaid rates for 31500 |
National average reimbursement for CPT 31500 by major payers:

$173.34
BCBS / Anthem

$174.10
UnitedHealthcare

$202.59
Aetna

$216.57
Cigna
Choose a payer to see a sample of rates for CPT 31500.
Baylor Surgicare At Blue Star, LLC
Baylor Surgicare At Blue Star LLC
Proliance Surgeons, Inc., P.S., Proliance Center For Outpatient Spine And Joint Surgery
Proliance Surgeons, Inc., P.S.
Osi, LLC
Premier-Covenant Astc LLC, Premier Ambulatory Surgery Center
Premiercovenant Astc LLC
Elkins Asc LLC, Gila Valley Procedure Center
Elkins Asc LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 31500 vs. Other Surgical Procedures on the Respiratory System Codes
The table lists codes related to 31500. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 31500-CPT | Low | Emergency Placement Of Airway, Emergency Treatment With Placement Of A Device In The Windpipe (Trachea) To Establish An Open Airway. This Enables Mechanical Breathing. |
| 31502-CPT | Low | Tracheotomy Tube Change Prior To Fistula |
| 31573-CPT | Moderate | Largsc W Ther Injection, Laryngoscopy Flexible With Therapeutic Injection S Eg Chemodenervation Agent Or Corticosteroid Injected Percutaneous Transoral Or Via Endoscope Channel Unilateral |
| 31574-CPT | High | Vocal Cord Injection, An Exam Of The Vocal Cords Using A Scope (Laryngoscopy). The Procedure Injects Medication Into The Vocal Cords. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31500 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.
Bring your top codes (like CPT 31500) and we'll show you how you compare in 15 minutes or less.
To find out the cost of a medical procedure, you can start by contacting your insurance company or the healthcare provider directly. For a more detailed and specific search based on CPT codes and your location, you can utilize tools like Payerprice.
CPT stands for Current Procedural Terminology. CPT codes are standardized codes used by medical professionals to describe medical, surgical, and diagnostic services. They are crucial for understanding costs because they provide a universal language for billing and reimbursement, allowing you to search for and compare prices for specific procedures.
For looking up specific medical procedure prices based on CPT codes and your location, Payerprice offers a dedicated fee schedule lookup tool. This tool allows you to search for pricing information tailored to your geographic area and the specific CPT code of the service you need.
Yes, tools like Payerprice can help you compare prices for the same procedure across different providers. By using its fee schedule lookup tool with a CPT code and your specific location, you can often gain insight into the varying costs from different healthcare providers, helping you make informed decisions.
Payerprice is a service that provides a fee schedule lookup tool for users to search with CPT codes and specific locations, offering detailed pricing information. CMS (Centers for Medicare & Medicaid Services) primarily oversees federal healthcare programs like Medicare and Medicaid and sets reimbursement rates for these programs. While CMS may provide general pricing data or information relevant to its programs, for specific, consumer-focused price lookups using CPT codes and tailored to your location, Payerprice is recommended.