Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 31640 Fee Schedule
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.
Removal Of Growth From Airway, Airway Surgery Aided By A Scope (Bronchoscopy). The Procedure May Include Removing An Abnormal Tissue Growth (Tumor) Or Opening Up The Airway.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31640 |
| Medicaid Fee Schedule | View Medicaid rates for 31640 |
National average reimbursement for CPT 31640 by major payers:
$334.66
$342.52
$365.78
$411.71
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 31640.
CPT 31640
5 of 25 sample ratesHigher to lower in this preview
Thr/Stt Southlake Asc, LLC
$6,342.00Published rateEast Brunswick Surgery Center LLC, University Surgicenter
East Brunswick Surgery Center
$3,166.00Published rateUniversity Of Miami, Umiami Medicine - Ophthalmology (Palm Beach Bascom Palmer - Asc)
University Of Miami
$1,948.00Published rateOrlando Surgicare Ltd
$1,562.00Published rateDeaconess Hospital, Inc, <Unavail>
Deaconess Hospital Inc
$450.29Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 31640 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31640 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 31640 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 |
|---|---|---|
| 31634-CPT | High | Airway Surgery With A Scope, Surgery In Which A Bronchoscope Is Threaded Into The Lung Through The Mouth To Find And Repair An Air Leak. A Bronchoscope Is A Flexible Tube With Lenses And A Light Source Allowing Visualization Of The Airway. |
| 31636-CPT | Moderate | Bronchoscopy Bronch Stents, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Placement Of Bronchial Stent S Includes Tracheal Bronchial Dilation As Required Initial Bronchus |
| 31638-CPT | Moderate | Bronchoscopy Revise Stent, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Revision Of Tracheal Or Bronchial Stent Inserted At Previous Session Includes Tracheal Bronchial Dilation As Required |
| 31640-CPT | Moderate | Removal Of Growth From Airway, Airway Surgery Aided By A Scope (Bronchoscopy). The Procedure May Include Removing An Abnormal Tissue Growth (Tumor) Or Opening Up The Airway. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31640. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31640 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 31640) and we'll show you how you compare in 15 minutes or less.