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 00936 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.
Anesthesia For Penis Surgery, Anesthesia Services For A Surgery To Remove The Penis. The Procedure May Include Removing Lymph Glands In The Groin And Pelvis And Reconstruction Of The Urinary Tract (Urethra).
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Perineum |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None QZ - CRNA service; without medical direction by a physician QY - Medical direction of one CRNA by an anesthesiologist QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00936 |
National average anesthesia conversion factor for CPT 00936 by major payers:
$58.14
$55.62
$57.09
$54.91
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 00936.
CPT 00936
5 of 25 sample ratesHigher to lower in this preview
Dahlia Townsend
$128.69Published rateJae Lee
$99.00Published rateRobin Li
Anesthesia Service Medical Group, Inc.
$84.66Published rateMarshal Kaplan
$57.50Published rateJeffrey Glaser
Jeffrey B. Glaser, M.D., Inc.
$38.00Published 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 00936 vs. Other Anesthesia for Procedures on the Perineum Codes
The CPT 00936 code is part of the Anesthesia services used for Anesthesia for Procedures on the Perineum. 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 00936 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 |
|---|---|---|
| 00851-CPT | Moderate | Anesthesia Sterilization, Anesthesia Services For Surgery To Seal The Fallopian Tubes (Tubal Ligation Or Sterilization) Or Other Lower Abdominal Procedure. |
| 00934-CPT | Moderate | Anesthesia For Penis Surgery, Anesthesia Services For A Surgery To Remove The Penis. The Procedure May Include Removing Lymph Glands In The Groin And Pelvis And Reconstruction Of The Urinary Tract (Urethra). |
| 00936-CPT | Moderate | Anesthesia For Penis Surgery, Anesthesia Services For A Surgery To Remove The Penis. The Procedure May Include Removing Lymph Glands In The Groin And Pelvis And Reconstruction Of The Urinary Tract (Urethra). |
| 00938-CPT | Low | Anes Insj Penile Prosthesis, Anesthesia For Procedures On Male Genitalia (Including Open Urethral Procedures); Insertion Of Penile Prosthesis (Perineal Approach) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00936. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00936 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 00936) and we'll show you how you compare in 15 minutes or less.