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 comparisonHealthcare 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.
| 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 82 - Assistant surgeon - no qualified resident |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 32856 |
| Medicaid Fee Schedule | $238.76 median of the 8 states in the free preview · View Medicaid rates for 32856 |
National average reimbursement for CPT 32856 by major payers:

$517.23

$439.78

$655.04

$651.03
Choose a payer to see a sample of rates for CPT 32856.
Texas Health Orthopedic Surgery Center Alliance, LLC, Texas Health Orthopedic Surgery Center Heritage
Texas Health Orthopedic Surgery Center Alliance LLC
Surgery Center Of Fort Wayne
Surgery Center Of Fort Wayne LLC
Advanced Surgical Care Of Boerne, LLC
Advanced Surgical Care Of Boerne LLC
Acd-Sa, Ltd., Sendero Imaging And Treatment Center
Better Living Endoscopy Center
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 32856 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32856 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 32856 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 |
|---|---|---|
| 32852-CPT | High | Lung Transplant, Single, With Cardiopulmonary Bypass |
| 32853-CPT | High | Lung Transplnt Double (Bilate Sequent Or En Bloc); W/O Car, Lung Transplant Double (Bilateral Sequential Or En Bloc); Without Car |
| 32855-CPT | Moderate | Prepare Donor Lung Single, Backbench Standard Preparation Of Cadaver Donor Lung Allograft Prior To Transplantation Including Dissection Of Allograft From Surrounding Soft Tissues To Prepare Pulmonary Venous Atrial Cuff Pulmonary Artery And Bronchus Unilateral |
| 32856-CPT | Moderate | Prepare Donor Lung Double, Backbench Standard Preparation Of Cadaver Donor Lung Allograft Prior To Transplantation Including Dissection Of Allograft From Surrounding Soft Tissues To Prepare Pulmonary Venous Atrial Cuff Pulmonary Artery And Bronchus Bilateral |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32856. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32856 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.
Bring your top codes (like CPT 32856) and we'll show you how you compare in 15 minutes or less.