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 47531 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.
Injection For Cholangiogram, Injection Procedure For Cholangiography Percutaneous Complete Diagnostic Procedure Including Imaging Guidance Eg Ultrasound And Or Fluoroscopy And All Associated Radiological Supervision And Interpretation Existing Access
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 47531 |
| Medicaid Fee Schedule | View Medicaid rates for 47531 |
National average reimbursement for CPT 47531 by major payers:
$456.37
$506.94
$568.57
$170.31
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 47531.
CPT 47531
5 of 25 sample ratesHigher to lower in this preview
Narayan Agrawal
$982.97Published rateAdam Trotta
Deaconess Hospital Inc
$608.69Published rateSyed Nasir
$429.64Published rateMarie Bernard
Progressive Care Medical Group PLLC
$301.24Published rateSyed Nasir
$259.27Published 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 47531 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47531 code is part of the Surgery services used for Surgical Procedures on the Digestive 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 47531 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 |
|---|---|---|
| 47531-CPT | Moderate | Injection For Cholangiogram, Injection Procedure For Cholangiography Percutaneous Complete Diagnostic Procedure Including Imaging Guidance Eg Ultrasound And Or Fluoroscopy And All Associated Radiological Supervision And Interpretation Existing Access |
| 47532-CPT | Moderate | Injection For Cholangiogram, Injection Procedure For Cholangiography Percutaneous Complete Diagnostic Procedure Including Imaging Guidance Eg Ultrasound And Or Fluoroscopy And All Associated Radiological Supervision And Interpretation New Access Eg Percutaneous Transhepatic Cholangiogram |
| 47533-CPT | High | Plmt Biliary Drainage Cath, Placement Of Biliary Drainage Catheter Percutaneous Including Diagnostic Cholangiography When Performed Imaging Guidance Eg Ultrasound And Or Fluoroscopy And All Associated Radiological Supervision And Interpretation External |
| 47534-CPT | High | Plmt Biliary Drainage Cath, Placement Of Biliary Drainage Catheter Percutaneous Including Diagnostic Cholangiography When Performed Imaging Guidance Eg Ultrasound And Or Fluoroscopy And All Associated Radiological Supervision And Interpretation Internal External |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47531. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47531 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 47531) and we'll show you how you compare in 15 minutes or less.