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See a sample rate comparisonHealthcare 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.
| 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 | 59 - Distinct Procedural Service AS - PA/NP/CNS assistant at surgery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $211.76 national non-facility rate (2026) · View Medicare rates for 34813 |
| Medicaid Fee Schedule | $170.11 median of the 8 states in the free preview · View Medicaid rates for 34813 |
National average reimbursement for CPT 34813 by major payers:

$324.82

$334.24

$346.35

$379.21
Choose a payer to see a sample of rates for CPT 34813.
Northwest Surgery Center, Ltd, Northwest Surgery Center Red Oak
Northwest Surgery Center Ltd
Surgical Specialty Center Of Mid Atlantic, LLC
Surgical Specialty Center Of Mid-Atlantic, LLC
Summit Ambulatory Surgical Center, LLC
Endoscopy Center Of Northeast Tennessee, PC
Escnc LLC, Eye Surgery Center Of Northern California
Escnc LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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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 34813 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 34813 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 34813 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 |
|---|---|---|
| 34713-CPT | Low | Percutaneous Access And Closur, Percutaneous Access And Closure Of Femoral Artery For Delivery Of Endograft Through A Large Sheath (12 French Or Larger) Including Ultrasound Guidance When Performed Unilateral (List Separately In Addition To Code For Primary Procedure) All Nonselective Catheterization(S) All Associate |
| 34808-CPT | Moderate | Place Artery Closure Device, Procedure Done During Surgery To Repair A Bulging Artery (Aneurysm). Using Imaging Guidance A Device Is Placed That Stops Blood Flowing Through The Artery. |
| 34812-CPT | Moderate | Open Large Artery For Repair, Surgery To Open A Large Artery In The Groin (Femoral Artery) Abdomen (Iliac Artery) Or Arm (Brachial Artery) To Insert A Support Device (Stent). The Stent Stabilizes Or Bypasses A Bulge (Aneurysm) Or Ruptured Segment Of The Artery. |
| 34813-CPT | Moderate | Placement Of Femoral-Femoral P, Placement Of Femoral-Femoral Prosthetic Graft During Endovascular Aortic Aneurysm Repair (List Separately In Addition To Code For Primary Procedure). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 34813. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 34813 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.
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