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 comparisonHealthcare 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 | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31641 |
| Medicaid Fee Schedule | View Medicaid rates for 31641 |
National average reimbursement for CPT 31641 by major payers:

$368.40

$346.29

$380.23

$419.32
Choose a payer to see a sample of rates for CPT 31641.
Princess Anne Ambulatory Surgery Management, LLC
Wguasc LLC
Retina Institute Of Indiana Surgery Center 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 31641 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31641 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 31641 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 |
|---|---|---|
| 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. |
| 31641-CPT | Moderate | Bronchoscopy Treat Blockage, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Destruction Of Tumor Or Relief Of Stenosis By Any Method Other Than Excision Eg Laser Therapy Cryotherapy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31641. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31641 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 31641) and we'll show you how you compare in 15 minutes or less.