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See a sample rate comparisonCPT 31730 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.
Open Windpipe For Oxygen, Placement Of A Tube Or A Device (Stent) To Prop Open The Windpipe (Trachea). The Procedure Opens The Windpipe For Oxygen Therapy.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $1,175.04 national non-facility rate (2026) · View Medicare rates for 31730 |
| Medicaid Fee Schedule | $926.075 median of the 8 states in the free preview · View Medicaid rates for 31730 |
National average reimbursement for CPT 31730 by major payers:
$997.18
$1,340.50
$1,435.60
$305.83
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CPT 31730
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Kenai
$4,044.00Published rateFirst Hill Surgery Center LLC
$1,249.00Published rateAlpharetta Mohs Surgical Center
$809.00Published rateNewbridge Surgery Center At Prince Frederick, LLC
Newbridge Surgery Center At Prince Frederick LLC
$522.00Published rateArturo Betancourt, M.D., P.A., Baltimore Washington Eye Center
Arturo Betancourt, Md, PA
$369.00Published rate
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See a sample payer proposalCPT 31730 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31730 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 31730 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 |
|---|---|---|
| 31720-CPT | Low | Airway Clearing With Suction, Aspiration Clears The Airway With A Suction Device Inserted Through A Thin Tube (Catheter) That Has Been Threaded Down The Nose Or Throat. |
| 31725-CPT | Low | Airway Clearing With Suction, Aspiration Clears The Airway With A Suction Device Inserted Through A Thin Tube (Catheter) That Has Been Threaded Down The Nose Or Throat. |
| 31730-CPT | Moderate | Open Windpipe For Oxygen, Placement Of A Tube Or A Device (Stent) To Prop Open The Windpipe (Trachea). The Procedure Opens The Windpipe For Oxygen Therapy. |
| 31750-CPT | High | Surgery To Rebuild Windpipe, Surgery To Reconstruct The Windpipe (Trachea). The Procedure May Involve Creating An Opening Between The Throat And Nose. Cartilage Grafts May Be Used. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31730. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31730 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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