CPT 31651 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 | • Surgery • Surgical Procedures on the Respiratory System |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • GC - Service performed by resident under supervision • 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 31651 |
National average reimbursement for CPT 31651 by major payers:
$118.25
$103.93
$104.91
$135.93
| 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 31651 | ||||||
United | 31651 | $566.00 | 1942507488 - GA ENDOSCOPY CENTER, LLC | 273115800 - (GA) GA ENDOSCOPY CENTER LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 31651 | $120.00 | 1568469328 - WYOMISSING SURGICAL SERVICES INC. | 731647840 - (PA) WYOMISSING SURGICAL SERVICES INC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 31651 | $500.00 | 1215410592 - ALLIANCE SURGERY CENTER AT WOODSTOCK, LLC | 830957221 - (GA) ALLIANCE SURGERY CENTER AT WOODSTOCK LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 31651 | $102.00 | 1598879512 - NORTHLAND EYE SURGERY CENTER, LLC | 203685944 | MO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 31651 | $124.00 | 1417566217 - CLEARWAY SURGERY CENTER OF EASTON, LLC | 851826166 - (MD) CLEARWAY SURGERY CENTER OF EASTON LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 31651 | $566.00 | 1295060069 - TIMONIUM SURGERY CENTER, LLC | 270399689 - (MD) TIMONIUM SURGERY CENTER LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 31651 | $656.00 | 1619519535 - ANDERSON SURGERY CENTER LLC | 834200085 - (IL) ANDERSON SURGERY CENTER LLC | IL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 31651 | $88.00 | 1679658710 - STADIUM CAMPUS AMBULATORY SURGICAL CENTER, LLC, WILLS EYE SURGERY CENTER | 232981922 - (PA) STADIUM CAMPUS AMBULATORY SURGICAL CENTER LLC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 31651 | $553.00 | 1669496345 - MNGI ENDOSCOPY ASC INC | 205174032 - (MN) MNGI ENDOSCOPY ASC INC | MN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 31651 | $1665.00 | 1346235058 - EAST MEQUON SURGERY CENTER LLC | 861075286 - (WI) EAST MEQUON SURGERY CENTER LLC | WI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 31651 | $96.70 | 1205859550 - COMMUNITY SURGERY & LASER CENTER, LLC | 204589384 - (PA) COMMUNITY SURGERY LASER CENTER LLC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 31651 | $326.00 | 1538231956 - COASTAL MEDICAL CENTER LLC | 650956639 - (FL) COASTAL MEDICAL CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 31651 | $570.00 | 1538245717 - LUBBOCK COUNTY HOSPITAL DISTRICT, UNIVERSITY MEDICAL CENTER | 751301362 - LUBBOCK COUNTY HOSPITAL DISTRICT | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 31651 | $557.00 | 1396700159 - DOCTORS SAME DAY SURGERY CENTER, LTD | 621614361 - (FL) DOCTORS SAME DAY SURGERY CENTER LTD | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 31651 | $601.00 | 1033635206 - MEDSTAR SURGERY CENTER AT TIMONIUM, LLC | 821874292 - (MD) MEDSTAR SURGERY CENTER AT TIMO | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
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 31651 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31651 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 31651 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 |
|---|---|---|
| 31648-CPT | Moderate | Once Per Dos Bronchoscopy, Rigid Or Flexible, Including Fluoroscopic Guidance, When Performed; W/Removal Of - Deny Inv/N10=1/1/2013-4/1/2024 |
| 31649-CPT | Low | Bronchoscopy Rigid Or Flexible Including Fluoro-Scopic Guidance When Performed; With Removal Of Bronchial Valve(S) Each Additional Lobe (List Separately In Addition To Code For Primary Procedure) |
| 31651-CPT | Low | Bronchoscopy Rigid Or Flexible Including Fluoro-Scopic Guidance When Performed; With Balloon Oc- Clusion When Performed Assessment Of Air Leak Airway Sizing And Insertion Of Bronchial Valve(S) Each Additional Lobe (List Separately In Addition To Code For Primary Procedure[S]) |
| 31653-CPT | High | Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed; With Endobronchial Ultrasound (Ebus) Guided Transtracheal And/Or Transbronchial Sampling (Eg Aspiration[S]/Biopsy[Ies]) 3 Or More Mediastinal And/Or Hilar Lymph Node Stations Or Structures. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31651. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31651 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 31651) and we'll show you how you compare in 15 minutes or less.