What do doctors typically charge for Biopsy of Lobe of Lung using an Endoscope 1 Lobe?

The nationwide median physician charge for Biopsy of Lobe of Lung using an Endoscope 1 Lobe (CPT 31628) is $877.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for CPT 31628?

The standard insurance baseline reimbursement rate is $74.63. This represents the customary allowable amount established across standard fee schedules.

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CPT 31628Medical Service

Biopsy of Lobe of Lung using an Endoscope 1 Lobe

Q: What is Biopsy of Lobe of Lung using an Endoscope 1 Lobe (CPT 31628)?

Biopsy of lobe of lung using an endoscope, 1 lobe. This clinical code is utilized across practices and hospitals for diagnostic and therapeutic service documentation.

Biopsy of lobe of lung using an endoscope, 1 lobe. Clinical pricing breakdown and utilization metrics across 889 practicing doctors nationwide.

$877.00

Peer Median Charge

Gross billed rate

$74.63

Standard Baseline

Customary allowable

11.8x

National Markup

Charge vs baseline

889

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $877.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $74.63 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 31628 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"