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 comparisonCPT 31830 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.
Reduce Scar In Airway, Surgery To Reduce Scar Tissue From A Previous Surgery To Close An Opening In The Windpipe (Trachea).
| 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 | GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $489.66 national non-facility rate (2026) · View Medicare rates for 31830 |
| Medicaid Fee Schedule | $385.03 median of the 8 states in the free preview · View Medicaid rates for 31830 |
National average reimbursement for CPT 31830 by major payers:
$549.51
$589.96
$645.41
$594.77
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 31830.
CPT 31830
5 of 25 sample ratesHigher to lower in this preview
Christus Santa Rosa Outpatient Surgery, Christus Physicians Surgery Center - New Braunfels
$5,968.00Published rateCampus Eye Group Asc Inc, Surgicenter Anesthesia Associates
$2,595.00Published rateTec North, LLC, The Endoscopy Center North
Tec North LLC
$1,259.00Published rateJohn Burnley
Deaconess Hospital Inc
$779.78Published rateFalconhead Surgery Center LLC
$425.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 31830 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31830 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 31830 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 |
|---|---|---|
| 31820-CPT | Moderate | Surg.Cl.Trachestmy/Fist;W/O Pl.Repr |
| 31825-CPT | Moderate | Close Surgical Wound In Neck, Surgery To Close An Opening In The Windpipe (Trachea). The Procedure Can Include Cosmetic Surgery. |
| 31830-CPT | Moderate | Reduce Scar In Airway, Surgery To Reduce Scar Tissue From A Previous Surgery To Close An Opening In The Windpipe (Trachea). |
| 31899-CPT | Moderate | Surgery On Windpipe Or Airway, Procedure Done On The Windpipe (Trachea) Or The Airway (Bronchi). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31830. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31830 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 31830) and we'll show you how you compare in 15 minutes or less.