What do doctors typically charge for Incision of Windpipe for Insertion of Breathing Tube Older Than 2 Years?

The nationwide median physician charge for Incision of Windpipe for Insertion of Breathing Tube Older Than 2 Years (CPT 31600) is $1052.44. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for CPT 31600?

The standard insurance baseline reimbursement rate is $306.28. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Incision of Windpipe for Insertion of Breathing Tube Older Than 2 Years

CPT 31600Medical Service

Incision of Windpipe for Insertion of Breathing Tube Older Than 2 Years

Incision of windpipe for insertion of breathing tube (older than 2 years). Clinical pricing breakdown and utilization metrics across 116 practicing doctors nationwide.

$1052.44

Peer Median Charge

Gross billed rate

$306.28

Standard Baseline

Customary allowable

3.4x

National Markup

Charge vs baseline

116

Active Physicians

Billing this code

Planning care or already received a bill for CPT 31600?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Calculate Bundled Cost →Dispute an Inflated Bill 🧾

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $1052.44. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $306.28 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 31600 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"