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See a sample rate comparisonCPT 31781 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.
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| 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 | 62 - Co-Surgeons GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | $1,225.15 national non-facility rate (2026) · View Medicare rates for 31781 |
| Medicaid Fee Schedule | $1,041.51 median of the 8 states in the free preview · View Medicaid rates for 31781 |
National average reimbursement for CPT 31781 by major payers:
$1,731.88
$1,885.72
$1,978.29
$2,335.75
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CPT 31781
5 of 25 sample ratesHigher to lower in this preview
Mercy Terrace Hill Surgery Center, LLC, Mercy River Hills Surgery Center
Mercy Terrace Hill Surgery Center LLC
$3,376.00Published rateEndoscopy Center Of Toms River, LLC
Endoscopy Center Of Toms River LLC
$1,344.00Published rateCentral Arkansas Radiation Therapy Institute Inc, Carti Surgery Center
Central Arkansas Radiation Therapy Institute Inc
$898.00Published rateAssociated Surgical Center Of Dearborn LLC
$426.00Published rateCalifornia Skin Surgery Center Inc
$122.00Published rate
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See a sample payer proposalCPT 31781 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31781 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 31781 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31781. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31781 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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