Rate Benchmarking
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See a sample rate comparisonHealthcare 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.
| 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 | RT - Right side of body AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $894.81 national non-facility rate (2026) · View Medicare rates for 32505 |
| Medicaid Fee Schedule | $695.90 median of the 8 states in the free preview · View Medicaid rates for 32505 |
National average reimbursement for CPT 32505 by major payers:

$1,285.57

$1,285.35

$1,309.41

$1,533.84
Choose a payer to see a sample of rates for CPT 32505.
Bailey Square Ambulatory Surgical Center, Ltd
Bailey Square Ambulatory Surgical Center Ltd
Foundation Surgery Affiliate Of Nacogdoches LLC, Nacogdoches Surgery Center
Foundation Surgery Affiliate Of Nacogdoches LLC
San Luis Obispo Ca Endoscopy Asc Lp, Templeton Endoscopy Center
San Luis Obispo Ca Endoscopy Asc Lp
Suncoast Eye Center PA, Suncoast Surgery Institute
Suncoast Eye Center PA
Treasure Coast Urology Center, LLC
Treasure Coast Urology Center LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 32505 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32505 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 32505 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 |
|---|---|---|
| 32491-CPT | High | Lung Volume Reduction, Removal Of Lung Other Than Pneumonectomy With Resection Plication Of Emphysematous Lung S Bullous Or Non Bullous For Lung Volume Reduction Sternal Split Or Transthoracic Approach Includes Any Pleural Procedure When Performed |
| 32501-CPT | Moderate | Resection And Repair Of Portio, Resection And Repair Of Portion Of Bronchus (Bronchoplasty) When Performed At Time Of Lobectomy Or Segmentectomy (List Separately In Addition To Codefor Primary Procedure) |
| 32503-CPT | High | Resection Of Apical Lung Tumor, Resection Of Apical Lung Tumor (Eg Pancoast Tumor) Including Chest Wall Resection Rib(S) Resection(S) Neurovascular Dissection When Performed Without Chest Wall Reconstruction(S) |
| 32505-CPT | High | Lung Surgery To Remove A Mass, Surgery On A Lung To Remove A Lump Or Mass Of Tissue. The Procedure May Remove More Than One Mass. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32505. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32505 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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