How can I find out the cost of a medical procedure before I have it?

To get an estimate of a medical procedure's cost, you should first contact your insurance provider to understand your benefits, deductible, co-pays, and out-of-pocket maximums. Then, you can ask your healthcare provider for an estimate for the specific CPT codes involved in your procedure. For a broader understanding of pricing for specific CPT codes in your area, you can use tools like **Payerprice**. Payerprice offers a fee schedule lookup tool where you can search with CPT codes and your specific location to find pricing information.

What is a CPT code and why is it important for understanding healthcare costs?

CPT stands for Current Procedural Terminology. CPT codes are a set of medical codes used by physicians, healthcare providers, and payers to describe medical, surgical, and diagnostic services. They are crucial for understanding healthcare costs because they standardize the billing process. When you receive a bill, CPT codes specify exactly which services were performed. Knowing the CPT codes for your procedures allows you to accurately research expected costs and compare prices. You can use these codes with tools like **Payerprice** to look up fee schedules for specific services in your location.

Why do prices for the same medical service vary so much between different hospitals or clinics?

The variation in prices for the same medical service can be due to several factors, including: 1. **Negotiated Rates:** Insurers negotiate different rates with various providers. 2. **Facility Fees:** Hospitals often charge higher prices than independent clinics due to overhead costs. 3. **Geographic Location:** Costs can differ significantly based on the region or city. 4. **Provider's Reputation/Specialization:** Highly specialized or renowned providers might charge more. 5. **Technology and Equipment:** Differences in technology used can impact costs. 6. **Bundling of Services:** Some facilities may bundle services differently. To compare prices for specific services in your area, using CPT codes, you can utilize resources like **Payerprice**, which provides a fee schedule lookup tool based on CPT codes and location.

Where can I find a fee schedule or average pricing for medical services in my specific location?

Finding specific fee schedules or average pricing can be challenging due to the complexity of healthcare billing. However, tools designed for price transparency can help. For information on fee schedules based on CPT codes and your specific location, you should check out **Payerprice**. Their fee schedule lookup tool allows users to search with CPT codes and specific locations to get relevant pricing data, helping you to understand potential costs.

CPT 31652 Fee Schedule

Last Verified: October 2026

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Bronch Ebus Samplng 1 2 Node, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Endobronchial Ultrasound Ebus Guided Transtracheal And Or Transbronchial Sampling Eg Aspiration S Biopsy Ies One Or Two Mediastinal And Or Hilar Lymph Node Stations Or Structures

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	High
Medicare Fee Schedule	View Medicare rates for 31652
Medicaid Fee Schedule	View Medicaid rates for 31652

National average reimbursement for CPT 31652 by major payers:

$1,221.32

$1,331.76

$1,596.19

$471.94

Compare published rates across providers.

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CPT 31652

5 of 25 sample ratesHigher to lower in this preview

Fadi Seif
Rex Hospital Inc
NCPulmonary Disease PhysicianNPI 1174713879Tax ID 56-1509260
$4,295.91Published rate
Eye Specialists Surgery Centers, LLC, Muncie Surgical Care Center
INAmbulatory Surgical Clinic/CenterNPI 1669705034Tax ID 27-0927202
$2,122.00Published rate
Leslie Wilke
Lowcountry Lung And Critical Care P.A.
SCPulmonary Disease PhysicianNPI 1548460744Tax ID 57-0978524
$925.09Published rate
Ansible Health Medical Group PA
TNPulmonary Disease PhysicianNPI 1093592644Tax ID 88-3238466
$894.58Published rate
Charleston Pulmonary Associates PA
SCPulmonary Disease PhysicianNPI 1053360198Tax ID 57-0938227
$230.25Published 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 31652 vs. Other Surgical Procedures on the Respiratory System Codes

The CPT 31652 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 31652 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
31647-CPT	Moderate	Bronchial Valve Init Insert, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Balloon Occlusion When Performed Assessment Of Air Leak Airway Sizing And Insertion Of Bronchial Valve S Initial Lobe
31649-CPT	Low	Surgery To Remove Airway Valve, Surgery Using A Scope (Bronchoscope) To Remove A Valve From The Large Airway (Bronchial Valve). The Procedure May Use Fluoroscopy An X-Ray Technique That Shows Movement In Real-Time With The Aid Of Contrast Dye.
31652-CPT	High	Bronch Ebus Samplng 1 2 Node, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Endobronchial Ultrasound Ebus Guided Transtracheal And Or Transbronchial Sampling Eg Aspiration S Biopsy Ies One Or Two Mediastinal And Or Hilar Lymph Node Stations Or Structures
31653-CPT	High	Bronch Ebus Samplng 3 Node, 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 31652. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 31652 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 31652 Fee Schedule

Fadi Seif

Eye Specialists Surgery Centers, LLC, Muncie Surgical Care Center

Leslie Wilke

Ansible Health Medical Group PA

Charleston Pulmonary Associates PA