CPT stands for Current Procedural Terminology. These are a set of medical codes used by physicians and other healthcare providers to report medical, surgical, diagnostic, and radiological procedures and services to entities such as health insurance companies. They ensure uniformity for billing and record-keeping across the healthcare industry.

How can I find the cost of a specific medical procedure or service?

To find the estimated cost of a specific medical procedure or service, especially using a CPT code and your specific location, you can utilize specialized lookup tools. We recommend using Payerprice, which offers a fee schedule lookup tool allowing users to search with CPT codes and specific locations to get pricing insights. For your exact out-of-pocket costs, you should also contact your insurance provider directly for information specific to your plan and deductible.

What is a fee schedule in healthcare?

A fee schedule in healthcare is a comprehensive listing of fees used by health plans and other payers to reimburse providers for medical services. It specifies the maximum amount an insurer will pay for each CPT code, procedure, service, or supply. These schedules can vary significantly based on the health plan, geographic location, and type of provider.

How do I understand my medical bill?

Understanding your medical bill involves reviewing several key components. It typically lists the services you received (often with CPT codes), the total billed amount, the amount paid by your insurance, and the amount you owe (your patient responsibility). You should also receive an Explanation of Benefits (EOB) from your insurance company, which provides a detailed breakdown of how your insurance processed the claim. If you have questions about specific charges or codes, it's best to contact your healthcare provider's billing department or your insurance company directly.

Where can I find information about what my insurance plan covers for a particular service?

For information specific to what your insurance plan covers for a particular service, including details on deductibles, co-pays, and co-insurance, you should contact your insurance provider directly. They can provide the most accurate and up-to-date information based on your specific policy and benefits. While tools like Payerprice can help you understand general fee schedules, your actual out-of-pocket cost will depend on your individual insurance benefits and current policy status.

CPT 31622 Fee Schedule

Q: What factors affect fee schedules?

Factors that affect fee schedules include 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), and Provider Type (Hospital providers may have different rates than private practice).

Last Verified: October 2026

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.

Scope Exam Of Lung Airway, Examination Of The Lung And Airway With A Scope (Bronchoscopy). A Mild Salt Solution Is Washed Over The Surface Of The Airways To Collect Cells For Testing.

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Respiratory System
Common Place of Service	21 - Inpatient Hospital 22 - On Campus Outpatient Hospital
Common Modifiers	None 59 - Distinct Procedural Service 51 - Multiple procedures
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 31622
Medicaid Fee Schedule	View Medicaid rates for 31622

National average reimbursement for CPT 31622 by major payers:

$339.58

$353.25

$396.54

$231.96

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 31622.

CPT 31622

5 of 25 sample ratesHigher to lower in this preview

Memorial Hermann Surgery Center Main Street, LLC
TXAmbulatory Surgical Clinic/CenterNPI 1497312540Tax ID 38-4114079
$2,817.00Published rate
Medpark Specialized Surgery, LLC
Medpark Specialized Surgery LLC
NDAmbulatory Surgical Clinic/CenterNPI 1184375545Tax ID 86-3466448
$892.00Published rate
Precision Ambulatory Surgery Center, LLC
Precision Ambulatory Surgery Center LLC
TXAmbulatory Surgical Clinic/CenterNPI 1962050492Tax ID 83-0978495
$650.00Published rate
Lahaye Center For Advanced Eye Care Of Lafayette, Inc.
LAAmbulatory Surgical Clinic/CenterNPI 1154318376Tax ID 72-1227426
$523.00Published rate
George Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
ALInterventional Cardiology PhysicianNPI 1851400485Tax ID 45-1471722
$160.02Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 31622 vs. Other Surgical Procedures on the Respiratory System Codes

The CPT 31622 code is part of the Surgery services used for Surgical Procedures on the Respiratory System. 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 31622 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
31622-CPT	Moderate	Scope Exam Of Lung Airway, Examination Of The Lung And Airway With A Scope (Bronchoscopy). A Mild Salt Solution Is Washed Over The Surface Of The Airways To Collect Cells For Testing.
31624-CPT	Moderate	Exam Of Lung And Airway, Exam Of The Lung And Airway With A Scope (Bronchoscopy). The Procedure May Include Brushing Or Washing The Airway.
31625-CPT	Moderate	Bronchoscopy Rigid Or Flexibl, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Bronchial Or Endobronchial Biopsy(S) Single Or Multiple Sites
31626-CPT	Moderate	Insert Scope Into Airway, Insertion Of A Scope (Bronchoscope) Into The Airway To Place A Contrast Material (Such As A Dye) Or A Marker (Such As Treated Cells). The Contrast Material Or Marker Highlights Specific Areas Of The Airway On Images Or Scans.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31622. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 31622 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.

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CPT 31622 Fee Schedule

Compare published rates across providers.

Memorial Hermann Surgery Center Main Street, LLC

Medpark Specialized Surgery, LLC

Precision Ambulatory Surgery Center, LLC

Lahaye Center For Advanced Eye Care Of Lafayette, Inc.

George Hemstreet