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 high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $2,261.91 national non-facility rate (2026) · View Medicare rates for 33859 |
| Medicaid Fee Schedule | $1,751.35 median of the 8 states in the free preview · View Medicaid rates for 33859 |
National average reimbursement for CPT 33859 by major payers:

$3,050.90

$3,430.43

$3,522.63

$3,865.89
Choose a payer to see a sample of rates for CPT 33859.
Freehold Endoscopy Associates, LLC, Endoscopy Center Of Monmouth County
Freehold Endoscopy Associates
Center For Spine Interventions Asc 2
West Plains Surgery Center LLC
West Plains Ambulatory Surgery Cent
Southpoint Surgery Center, LLC
Northland Eye Surgery Center, LLC
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 33859 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33859 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular 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 33859 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 |
|---|---|---|
| 33858-CPT | High | Repair Largest Artery (Aorta), Surgery To Repair A Bulge Damage Or Other Problem In A Section Of The Largest Artery (Aorta). The Procedure Requires Grafts And Moves One Or More Smaller Attached Vessels. |
| 33859-CPT | High | Repair Largest Artery (Aorta), Surgery To Repair A Bulge Damage Or Other Problem In A Section Of The Largest Artery (Aorta). The Procedure Requires Grafts And Moves One Or More Smaller Attached Vessels. |
| 33863-CPT | High | Repair Largest Artery (Aorta), Surgery To Repair A Bulge Damage Or Other Problem In A Section Of The Largest Artery (Aorta). The Procedure Requires Grafts And Moves One Or More Smaller Attached Vessels. |
| 33864-CPT | High | Ascending Aorta Graft With Ca, Ascending Aorta Graft With Cardiopulmonary Bypasswith Valve Suspension With Coronary Reconstructi On And Valve-Sparing Aortic Annulus Remodeling (E.G. David Procedure Yacoub Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33859. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33859 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 33859) and we'll show you how you compare in 15 minutes or less.